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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

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Before the Treatment

As a patient, you should do the following things as a preparatory step for bilateral hip replacement surgery:

  • Ask for detailed information about the procedure.
  • Sign an informed consent form by reading it carefully. The signed form gives permission or consent to the hip replacement surgeons to perform the procedure.
  • Undergo blood tests and other diagnostic tests apart from a complete medical check-up.
  • Report the provider whether you are sensitive or allergic to any medications or anaesthetic agents.
  • Inform the hip replacement surgeon about the medications and herbal supplements that you are taking at the moment.
  • Notify the provider if you are pregnant or suspect pregnancy.
  • Fast for 8 hours before the procedure, usually after midnight or as advised by the doctor.
  • Stop smoking well in advance to improve the rate of wound healing and recovery.
  • Lose weight, if advised so.
  • Perform conditioning exercises to strengthen muscles, as advised by the doctor.

How it is 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.


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

Cost Comparison


Bilateral hip replacement surgery cost varies from one country to the other. The cost of hip replacement surgery in India is much less than what it costs in the Western countries, including the UK and the US. It is estimated that bilateral hip replacement surgery cost in India is just one-tenth the cost of the same procedure in developed countries.



The cost of hip surgery depends on several factors. For example, it depends on the type and quality of hip implant used during the surgery. Titanium hip replacement cost is different from that of cobalt chrome. Similarly, ceramic implant cost differs from that of metal implant cost.

Some of the other factors that contribute to the overall cost of hip replacement in India include the following:

  • The fees of the hip replacement surgeons
  • The experience of the surgeons
  • Number of surgeons participating in the surgery
  • The total duration of hospital stay
  • The extent of rehabilitation required
  • Total number of physical therapy sessions
  • Cost of medicines and other consumables
  • Types of hospital room allotted
  • The cost of any side procedure or revision surgery, if required

The following table indicates the hip replacement cost by country for some of the most popular medical tourism destinations:

Cost of Bilateral Hip Replacement 

Treatment cost in India: 8800
Treatment cost in Turkey: 13000
Treatment cost in United Arab Emirates: 19800
Treatment cost in Spain: 32000
Treatment cost in Thailand: 25000
Treatment cost in Israel: 41000
Treatment cost in Singapore: 40000
Treatment cost in Saudi Arabia: 30000
Treatment cost in South Africa: n/a
Treatment cost in Tunisia: 21000
Treatment cost in Greece: 30000
Treatment cost in Czechia: 17000
Treatment cost in Lebanon: n/a
Treatment cost in Lithuania: 20000
Treatment cost in Poland: 14000
Treatment cost in Switzerland: 32000
Treatment cost in United Kingdom: 15000
Treatment cost in Hungary: 14000
Treatment cost in Malaysia: 30000
Treatment cost in Morocco: 30000
Treatment cost in South Korea: 37000

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Q. What is the ideal bilateral hip replacement recovery time?

A. Usually, patients are discharged within five to seven days after the surgery. However, complete recovery takes three to six months, depending on the type of surgery performed and the overall health of the patient.

Q. When should I have a hip replacement?

A. Only an experienced surgeon is able to figure out whether you should undergo hip replacement or not. The decision is based on your medical history, physical examination, and X-ray results.

Q. What is the bilateral hip replacement surgery time?

A. The surgery may last for two to two and half hours, depending on the approach used to replace the diseased hip joint.

Q. When would I be able to resume work?

A. Generally, you should take a one month rest from work after the surgery to recover peacefully at home. You may need more rest time in case of a strenuous job.

Q. When will I be able to get out of the bed?

A. You will be able to get out of the bed the next morning after the surgery. You can sit in a chair and walk with the help of a walker.

Q. What is the bilateral hip replacement cost?

A. The cost of hip surgery depends on several factors, including the type of technique used, the hospital and the country where you are planning to get operated, and the cost of hip implants.

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