Preparing for hip replacement
Informed by recognized medical guidance
Overview
Hip replacement is a surgery to replace a damaged hip joint with an artificial one. It is often done when hip pain and stiffness make it hard to walk, sleep, or do daily activities.
Key facts
- Hip replacement is one of the most common and successful orthopedic surgeries.
- Most people who have hip replacement are over 60, but it can be done at any age.
- Preparation before surgery can help you recover faster and with less pain.
Yes, hip replacement is very common. Thousands of people have it each year worldwide.
It mostly affects people with severe hip arthritis or hip injuries that have not improved with other treatments.
Symptoms
- Sudden, severe hip pain after a fall or injury that makes you unable to bear weight (may be a fracture)
- Signs of infection like fever, chills, and redness or swelling around the hip after surgery
- ⚠Persistent hip pain that does not improve with rest or over-the-counter pain relief
- ⚠Increasing difficulty walking or getting out of a chair
Common symptoms
- Pain in the hip or groin that gets worse with activity
- Stiffness in the hip joint
- Trouble walking or climbing stairs
- Pain that wakes you up at night
Symptoms in children
- Hip replacement is rare in children. If a child has severe hip problems, doctors may consider other surgeries first.
Symptoms in older adults
- Pain and stiffness that limit daily activities
- Balance problems due to hip weakness
- Increased risk of falls
Causes
Main causes
- Osteoarthritis (wear and tear of cartilage)
- Rheumatoid arthritis (inflammation of the joint lining)
- Hip fracture or injury
- Avascular necrosis (loss of blood flow to the hip bone)
Risk factors
- Age (over 50)
- Family history of arthritis
- Obesity
- Previous hip injury or surgery
When to see a doctor
See a doctor urgently if:
- Severe hip pain after a fall or injury
- Signs of infection (fever, redness, warmth) around the hip
Book a routine appointment if:
- Hip pain that interferes with daily activities for more than a few weeks
- Stiffness that does not improve with rest or over-the-counter medications
Diagnosis
Doctors diagnose hip problems by asking about your symptoms, doing a physical exam, and looking at X-rays or other scans of your hip.
Tests that may be done
- X-ray
- MRI (magnetic resonance imaging)
- Blood tests (to check for infection or arthritis)
What to expect at your appointment
You will likely be referred to an orthopedic surgeon (a bone and joint specialist) who will discuss if hip replacement is right for you.
Treatment
Before considering hip replacement, doctors often recommend other treatments to reduce pain and improve mobility. These can include physical therapy, weight loss, and medicines. If these don't help enough, surgery may be an option.
Self-care at home
- Stay active with low-impact exercises like swimming or cycling
- Use a cane or walker if needed to reduce pressure on the hip
- Apply heat or cold packs to ease pain
- Maintain a healthy weight to reduce stress on the hip
Medical treatments
Doctors may recommend non-surgical treatments such as pain relievers (like paracetamol or anti-inflammatories), joint injections, or physical therapy. Always follow your doctor's advice on medications.
When is surgery considered?
Surgery is usually considered when pain is severe and does not respond to other treatments, or when the hip joint is badly damaged. Preparation for surgery includes pre-operative tests, planning your recovery space at home, and learning exercises to do before surgery.
Living with this condition
Before surgery, your healthcare team will guide you on how to prepare. You may need to arrange help at home, prepare meals ahead, and set up a safe recovery area. After surgery, you will need to use crutches or a walker for a few weeks.
Lifestyle tips
- Stop smoking before surgery (it helps healing)
- Arrange for someone to drive you home and help for the first week
- Remove tripping hazards like loose rugs at home
Diet and exercise
Eat a balanced diet rich in protein and vitamin C to help healing. Gentle exercises like walking and ankle pumps after surgery are important. Your physiotherapist will give you a plan.
Mental health and emotional wellbeing
Waiting for surgery and recovery can be stressful. It's normal to feel anxious or down. Talk to your healthcare team or a counselor if you need support.
Prevention
Hip arthritis cannot always be prevented, but you can lower your risk by staying active, maintaining a healthy weight, and avoiding injuries.
Complications
If left untreated
- Chronic hip pain and stiffness
- Difficulty walking and doing daily tasks
- Muscle weakness and loss of mobility
Long-term outlook
Hip replacement is very successful. Most people experience significant pain relief and improved mobility. Recovery takes time, but with proper preparation and rehabilitation, you can get back to many activities you enjoy.
Find support
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Always verify with your doctor
Health guidelines vary by country and region. The information in this article is based on international clinical guidelines but may not reflect the specific guidelines, medications, or practices in your country. Always discuss your health concerns with your own doctor or healthcare provider, and refer to your local national health guidelines where available.
Important notice This information is for educational purposes only. It does not replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider about your specific situation. If you are experiencing a medical emergency, call your local emergency services immediately.
Related conditions
Sources and guidance
This article is educational and is prepared with reference to recognized health information and clinical guidance sources where available. Specific source links may vary by topic.
Last updated: July 16, 2026
Educational note: This information is for education only and is not a diagnosis.
Use it to support, not replace, advice from a licensed clinician.
If symptoms are severe, worsening, or urgent, call your local emergency number or seek emergency care.
Guidance may differ by country or region. Confirm local recommendations with a qualified healthcare provider.