What to Expect Before and After a Hip Replacement
Undergoing hip replacement surgery is a major decision, but one that can lead to life-changing improvements in mobility, comfort, and quality of life. Whether you’re facing the procedure due to osteoarthritis, a previous injury, or chronic pain that hasn’t responded to conservative treatments, understanding what lies ahead can help you feel more prepared and confident.
Below, we walk you through what to expect both before and after surgery, so you can approach the process with clarity and peace of mind.
Before Surgery: Preparing Mind and Body
Initial Consultation and Assessment
The journey typically begins with a detailed consultation. During this appointment, your orthopaedic surgeon will review your symptoms, medical history, lifestyle, and imaging scans (such as X-rays or MRI). If hip replacement is recommended, the procedure and alternatives will be explained thoroughly, including risks and benefits, so you can make an informed decision.
Pre-Operative Testing
Once surgery is scheduled, you’ll undergo routine pre-op assessments, which may include blood tests, ECG, and a medical examination to ensure you’re fit for anaesthesia. You may also be given advice on medications — for instance, which to stop prior to surgery, such as blood thinners.
Prehabilitation (Prehab)
Many patients benefit from a tailored physiotherapy programme before surgery, aimed at strengthening the muscles around the hip. This can improve recovery time and overall outcomes. Your care team may also provide guidance on exercises, nutrition, and lifestyle changes to optimise your readiness.
Preparing Your Home
Planning ahead can make the post-operative period much smoother. This may include arranging help for the first few weeks, securing assistive devices like crutches or grab bars, and ensuring your home environment is safe and accessible for limited mobility.
After Surgery: Recovery and Rehabilitation
Immediately After Surgery
Hip replacement surgery typically lasts 1 to 2 hours and is performed under spinal or general anaesthesia. After the procedure, you’ll be moved to a recovery area and monitored closely. Most patients begin standing or walking with support within 24 hours, under the guidance of a physiotherapist.
Hospital Stay
You may remain in hospital for 1 to 3 days, depending on your health and mobility. Pain is managed with medication, and your care team will help you begin gentle movement and mobility exercises. You’ll be taught how to move safely, climb stairs, and use walking aids.
The First Few Weeks at Home
Once home, continuing your rehabilitation is crucial. Physiotherapy sessions — whether in-person or at home — will focus on regaining strength, flexibility, and balance. You’ll likely use a walker or crutches initially, with most patients transitioning to a cane within a few weeks.
Swelling, bruising, and mild discomfort are normal, but these symptoms gradually subside. Your surgeon may recommend precautions to avoid dislocating the new joint, such as avoiding deep bending or crossing your legs during early recovery.
Return to Daily Activities
By 6 weeks, many patients resume light activities and notice a significant reduction in pain. Driving is often possible after clearance from your surgeon, and low-impact exercises such as walking, swimming, or stationary cycling are usually encouraged after 8 to 12 weeks.
Most people return to work — depending on the nature of their job — within 6 to 12 weeks. Full recovery can take up to 6 months, though many feel dramatically better within the first 3.
Long-Term Outlook
Hip replacements are one of the most successful and commonly performed orthopaedic procedures. With proper care, most implants last 15 to 20 years or longer. Maintaining a healthy weight, staying active, and following your physiotherapy plan are all key to protecting your new joint for the long term.
Final Thoughts
Hip replacement surgery can feel daunting, but it’s also an opportunity to reclaim movement and quality of life. By understanding what to expect before and after the procedure, you can enter the process well-prepared and confident. Dr. Alexander Graves and his team are committed to guiding patients through every stage of care with clarity, compassion, and clinical excellence.
If you have questions about whether hip replacement is right for you, or you’d like to explore non-surgical options first, we’re here to help.