10 Common Myths Before Hip Replacement Surgery: Facts vs. Misconceptions

Hip replacement surgery is a highly successful procedure that can significantly improve the quality of life in advanced hip arthritis and joint deformities. However, many misconceptions among patients create unnecessary fear and delays in receiving appropriate treatment. In this article, we explain the 10 most common myths before hip replacement surgery and clarify the facts based on scientific evidence.

1) Myth: “Hip replacement is extremely dangerous and most people cannot walk afterwards.”

Fact: Modern hip replacement surgery has a success rate above 95%. Most patients walk the day after surgery and gain independence within 4–6 weeks.

2) Myth: “Hip implants only last 5–10 years.”

Fact: Contemporary ceramic and highly durable polyethylene implants can last 20–30 years. In younger patients, the lifespan may be somewhat shorter, but 15–20 years of good function is still common.

3) Myth: “My legs will be uneven after the surgery.”

Fact: Leg length is carefully evaluated and balanced during surgery. Small millimetric differences may remain but generally cause no functional issues.

4) Myth: “The surgery is extremely painful and requires months of bed rest.”

Fact: Enhanced recovery protocols and modern anesthesia provide very effective pain control. Most patients walk the next day and return home shortly after.

5) Myth: “I am too old for hip replacement.”

Fact: Age alone is not a contraindication. Even patients in their 80s or 90s can safely undergo hip replacement when medically optimized.

6) Myth: “Because I have diabetes, hypertension or heart disease, I cannot have hip replacement.”

Fact: Chronic conditions do not automatically prevent surgery. When properly controlled and evaluated, risks are significantly minimized.

7) Myth: “I won’t be able to bend, squat or return to normal life after surgery.”

Fact: Most patients regain full daily function with rehabilitation. Floor sitting or squatting may be possible for selected patients under guidance.

8) Myth: “The risk of dislocation is very high.”

Fact: With correct implant positioning and adherence to early precautions, the risk of dislocation is under 1–2%.

9) Myth: “As long as injections or physiotherapy help, hip replacement should always be the last option.”

Fact: If pain severely limits daily life, reduces walking distance, or causes night pain, surgery may be the right treatment—not a last resort.

10) Myth: “I will never be able to do sports again.”

Fact: Low-impact sports such as walking, swimming and cycling are safe after recovery. High-impact sports should be evaluated individually.

Conclusion: Accurate Information Leads to Better Decisions

Misconceptions can cause patients to live with unnecessary pain for years. Accurate, evidence-based information improves surgical outcomes and patient satisfaction. If you suffer from persistent hip pain, consulting a hip specialist is the best step toward proper treatment.