Hip Replacement Surgery in South Africa

Hip replacement in South Africa

Hip replacement surgery is the treatment method for curing painful hip joints. With increased cases of joint diseases and accidents throughout the world, hip replacement demand has increased rapidly. When a hip is damaged due to diseases like arthritis or fractures, normal activities like standing up and walking become very painful. With high damage, it can be impossible for the patient even to stand up. These cases require surgery of hip joints. Hip pain can result from different forms of arthritis, avascular necrosis, and childhood injuries.

Hip replacement surgery frees the patient from excruciating pain and improves ease of motion. A patient can get back to normal life with a proper rehabilitation program after the surgery. During hip replacement surgeries, doctors make an incision on the muscles of the hip (8 to 10 inches long). This incision gives them a way to damaged hip muscles. Doctors remove the damaged ball portion of the hip bone. This part is replaced with an artificial joint. The socket part is also replaced with an artificial bone socket. The artificial parts are made up of special metal alloys or high-grade plastic. Once replaced, the artificial ball and socket are attached to mimic the natural joint of the hip. Doctors also make drains to prevent any fluid formation in the joint. Recent developments have evolved hip treatment methods significantly. Technological aid allows a doctor to cut a smaller opening on the hip (2 to 5 inches). Smaller opening reduces the after surgery pain, minimizes blood loss, and makes recovery faster. Hip replacement surgery can eliminate hip pain completely or reduce it to a great extent.

Hip replacements are common in the sports industry. Old people suffering through severe arthritis are also common recipients of hip transplants. Hip replacement surgeries are performed throughout the world. There are global destinations for orthopedic treatments that perform hip replacement surgeries with a high success rate. South Africa has evolved a medical tourism hub in the last few decades. Orthopedic treatments in South Africa are famous worldwide. With medical world records in its name, the country is home to many renowned pioneers in the transplant industry. The country gave the world an extensive knowledge of heart transplant by performing it first in 1967. There are other transplant records of South Africa like first penile transplant and first 3D printed bone transplant. All these records have put the country on the World Map as one of the best Transplant locations.

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About the Total Hip Replacement B/L

Total hip replacement surgery also called total hip arthroplasty, is a surgical procedure conducted to replace the damaged or diseased hip joint with an artificial joint or prosthesis. The hip prosthesis contains the following three components:

  • A stem, which fits into the thigh bone
  • A ball that fits into the stem
  • A cup which is inserted into the socket of the hip joint

The two types of prostheses used in the total hip replacement surgery include a.) cemented and b.) uncemented prostheses. A combination of both is sometimes used during the surgery, depending on the recommendation made by the patient.

The hip joint surgery is conducted in patients when other non-surgical and surgical alternatives fail to work and relieve the patient of the terrible hip pain. A successful hip joint surgery ensures increased mobility, improved function of the hip joint, and pain-free movement.

There are two types of total hip replacement surgery, differentiated on the basis of whether a single or both the hip joints are replaced. Total hip replacement bilateral refers to the replacement of joints on both the sides of the hips. This procedure is conducted when both the sides are affected.



Patients who experience the following symptoms are recommended to undergo bilateral hip replacement surgery:

  • Pain in both the sides of the hip, which restricts daily activities such as walking or bending
  • Pain in both the sides of the hip that persists even when in resting state
  • Stiffness in hip preventing the movement or lifting of the leg
  • No relief from the use of anti-inflammatory drugs, physical therapy, or walking support

How is Total Hip Replacement B/L performed?

The surgeon may decide to operate both the side of the hips in a single surgery or they may schedule two different surgeries with a gap in between them. The surgical approach that the hip replacement surgeon chooses before the procedure depends on the condition of the patients and the experience of the surgical team. There are two approaches that can be used to conduct the procedure – minimally invasive and open surgery.

Minimally Invasive Hip Replacement Surgery

Minimally invasive hip replacement is a relatively new procedure that allows for minimal healing and recovery time and small incisions. The open surgery, on the other hand, involves the creation of a single large incision that increased recovery and healing time. Each of these approaches has its own pros and cons.

Before the surgery, the hip replacement surgeon will give you general anesthesia or a sedative. You would receive an intravenous line in the arm or hand. The surgical area is cleaned with an antiseptic solution and an incision is made in the hip area.

The surgeon then removes the damaged part of the hip joint and replaces the joint with an artificial joint or prosthesis.  The incision is closed with stitches or surgical staples and a drain is placed to remove fluid. The incision site is secured with a sterile bandage dressing.

Hip Implants: Cost, Quality, and Effectiveness

During the procedure, the surgeon removes a part of the thigh bone including the head of the bone and replaces it with the prosthesis. The surface of the acetabulum is first roughened so that it the new socket implant can attach to it well. Usually, a majority of artificial joint components are fixed using acrylic cement. However, cementless fixation has gained a huge popularity in the last few years.

The hip replacement implants may have plastic, metallic, or ceramic components. Metal-on-plastic implants are the most commonly used for hip replacement. Ceramic-on-plastic and ceramic-on-ceramic are used in younger and more active patients. Metal-on-metal is rarely used in younger patients.

Recovery from Total Hip Replacement B/L

Hip replacement surgery recovery time varies from one patient to the other. The success of this surgery hugely depends on your ability to follow the instructions given by the surgeon home care during the first few weeks after the procedure.

At the time of discharge, you will still have sutures and stitched under the skin. The doctor will remove stitches approximately two weeks after the surgery. See that you do not wet the wound until it is sealed and dried. You can bandage the wound to avoid irritation from clothing or support stockings.



During the first few weeks of your surgery, make sure to perform the exercises advised by the doctor. You may experience a little discomfort during activity and at night for several weeks. You will be able to return to conduct light activities within three to six weeks after the surgery.

Pain after hip replacement surgery goes away gradually. You may be given medications to manage pain after the surgery for a few days until it goes away completely.




  • Relief from hip pain
  • Deformity correction
  • Enhanced leg strength
  • Enhanced mobility
  • Painless sleep
  • Improved quality of life

Patient Stories

Frequently Asked Questions

Who is the best candidate for hip replacement surgery in South Africa?

Hip Replacement surgeries are performed only after trying medications and physiotherapies. A person who is experiencing severe pain on the hip that cannot be treated permanently with medications and therapy is an ideal candidate for hip replacement surgery. There are no age restrictions for the surgery, and it can be performed on elderly people as well. However, patients with low immunity or chronic disease are properly treated before surgery. High blood loss is a major risk involved, so doctors conduct immunity and other physical tests to check the eligibility of a patient for hip replacement surgery.

Getting surgery in South Africa will involve additional travel and accommodation costs that might differ for various airlines and datelines. These factors should be considered while deciding the budget for the treatment. If the budget is not tight, then South Africa is a good option.

What is the average cost of hip replacement surgery in South Africa?

The average costs of hip replacement surgeries are lower than most of the developed nations of the world. You can expect to get surgery at around 8000 USD. These costs can go as high as 15,000 USD when choosing the best hospitals in the country. Small clinics and some public hospitals can provide treatment at less than 8000 USD. The quality of treatment is good throughout the country due to high competition between hospitals and clinics.

Why should you opt for hip replacement in South Africa?

Hip replacement surgery requires technological availability. The quality of transplant material and the experience of orthopedic in hip replacement field matters for having good results. South Africa has the availability of all these features under the same roof. Different hospitals provide standard treatments with a high success guarantee. The hospitals are highly experienced in handling international patients. They have bilingual facilities and limited accommodation availability for foreign medical tourists. The medical proficiency of South African hospitals is constantly developing. You can benefit from the varied range of hospitals to provide the best services in South Africa.

How successful is Hip Replacement Surgery in South Africa?

The Orthopaedic hospitals in the country have a great treatment record in every field. South Africa has an average success rate of over 90% in hip replacement surgeries. Hip replacement surgeries have low risks involved. The country’s success rate is equal to the global success rate of these surgeries.

Which are the best hospitals for hip replacement surgery in South Africa?

South Africa is home to some of the best hospitals for hip replacement surgeries in the world. These hospitals have a constant footfall of international patients. One such hospital is the Netcare Hospital group. This hospital has expertise in all kinds of orthopedic treatments. The institute is not limited to orthopedic services. It provides treatments of heart, lung, and liver diseases among many others. Nelson Mandela Academic Hospital is also a good hospital providing cheap hip replacement surgeries.  

Which are the top orthopedic surgeons for hip replacement surgery in South Africa?

Dr. Jan D. Joubert is the national leader in hip replacement surgeries. He has performed more than 1800 hip replacement surgeries in the country. He is known for his authentic minimally invasive hip replacement method (AMIS) and works with Medacta International Hospital in Cape Town and Stellenbosch. Dr. Hennie Bosch is another honorable mention because of his deep knowledge and huge experience in the field.

What are the factors affecting the cost of hip replacement surgery in South Africa?

The costs of the treatment depend upon the quality of the services the hospital provides. Hospitals involve the after surgery care and accommodation charges in the package. The costs also depend largely on the material of hip transplants. Good quality transplants can function smoothly for 20 years or more. The costs of the treatment also vary with a change in ownership of hospitals. Governments provide subsidized rates in the Public sector for providing standard treatments to all classes of society.  

What is the health care infrastructure of South Africa / Why should opt for South Africa as a destination for your medical treatment?
Like most countries, hospitals in South Africa are based upon public and private healthcare systems. There are three main levels of healthcare based upon the payment method of the patient.
  • The full paying patients are those who usually prefer to be treated by a doctor working in the private sector. They can also be funded by an external source. Many non-South African citizens also prefer this treatment service.
  • Fully subsidized patients are those who have been referred from a Primary Healthcare Service Hospital.
  • Partially subsidized patients are patients whose costs are subsidized based on the amount of their income.
The public healthcare system has three main centers for health under its wing:
  • Clinics - These are run by trained professionals and nurses. They can serve as the first point of contact for a patient.
  • Community Healthcare Centre - This is a bigger setup, complete with full-fledged services and doctors and nurses.
  • Hospital - A patient usually gets here after a referral from a clinic or community health center. One can also go in for emergencies. A hospital provides various services like performing surgery and treating chronic illnesses.
Hospitals in South Africa are gearing up to tackle major illnesses and to provide better treatment options. The South African government is also working to introduce policies and towards accommodating more patients from all across the world. It is a great country to find affordable treatment options.
What are the conditions of the hospitals in South Africa? Are they JCI certified? What is the quality of the support staff in the hospitals
The Joint Commission International (JCI) accredits and certifies most health care organizations and programs all around the world. Joint Commission International Accreditation and Certification is recognized as the global leader for health care quality of care and patient safety.
Are the doctors/surgeons in South Africa of the best quality?
Doctors associated with Medigence are of the best quality. We hope to give our patients a pleasant experience and the best doctors we can find. Since South Africa has a lot of requirements in the field of healthcare, the country attracts doctors from all over the world to contribute their services. This can help to ensure that even you receive the best quality of doctors.
What is the process for obtaining a medical visa in South Africa?
One can apply for a visa to South Africa for a period of 90 days. The High Commission of India can then help one decide for how long a visa can be extended. This usually differs from person to person. The Medical Visa allows a person to stay for a maximum of six months with a valid visa. After this, one can go to the FRO office ( Foreigner’s Registration Office ) or FRRO (Foreigner's Regional Registration Office) and request for an extension. Do note that the validity of a visa begins on the day it is issued by the High Commission of India and not on the date of departure. Applications for visas will not be accepted more than 30 days prior to departure.
What support services does MediGence provide in the United Arab Emirates?
MediGence enables you to plan and manage your medical decisions better. These are some of our services offered:
  • Expert Opinion
    We help you seek an Expert Opinion on your diagnosis and treatment from an experienced team of doctors at MediGence and specialists from a reputable hospital.
  • Hospital Recommendation
    We recommend a hospital or a healthcare institution that is best suited for you, based on your ailment and its criticality.
  • 360-degree Hospital Review
    We give you a transparent and holistic view of the hospital and its infrastructure, accreditation, facilities, and expertise to give you confidence.
  • Doctor Validation and Communication
    We share a comprehensive profile of the treating doctor and also arrange a call to clear queries regarding treatment if needed.
  • Options to Choose From
    Based on your choice of destination and other preferences, we provide you multiple options with respect to hospitals and doctors to choose from.
  • 24X7 Patient Care Support
    A dedicated patient case manager stays in constant touch with you to help you at every step of the decision-making process and resolve queries that you may have.
  • Transparent Treatment Cost and Other Expenses
    We give a clear and accurate indication of the total cost of treatment including treatment, stay, meals, and other expenses.
  • Visa Assistance
    We provide and help prepare documentation for visa approval and coordinate with the embassy to expedite the visa process.
  • Accommodation Arrangements
    We propose to you a choice of accommodation based on your preference such as long stay, short stay, or luxury properties.
Which are the best cities in South Africa for medical treatment?
While many cities are striving to create some of the best hospitals in South Africa, Durban, Lenasia, and Cape Town already have some very good hospitals for treatment in South Africa. Located in Durban, Ethekwini Hospital and Heart Centre is a reasonable and affordable hospital in South Africa. Life Kingsbury Hospital in Capetown provides a holistic healing environment for patients. One can also opt for the Ahmed Kathrada Private Hospital in Lenasia. This hospital has been running for nearly 30 years now and various medical facilities can be availed from here.

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