Choosing the Right Hip Replacement Surgery: Anterior vs. Posterior Approach

Introduction

Deciding to have hip replacement surgery is a big step toward improving your mobility and quality of life. But before you book that operating room, there’s another important decision to make: Which surgical approach is right for you?

The two most common techniques are anterior and posterior hip replacement. Both have excellent success rates, but they come with different benefits and considerations. In this blog, we’ll break down each method, highlight the pros and cons, and share my personal experience to help you make an informed choice.

Anterior Hip Replacement: A Modern, Minimally Invasive Approach

What is it?
In anterior hip replacement, the surgeon accesses the hip joint from the front of the body. This technique avoids cutting through major muscles, leading to a potentially faster recovery with fewer movement restrictions.

Pros:
✅ Faster Initial Recovery – Many patients regain mobility sooner due to minimal muscle disruption.
✅ Less Post-Op Pain – Avoids cutting major muscles, reducing discomfort in the early recovery phase.
✅ Lower Risk of Dislocation – Muscles that stabilize the hip remain intact, making it less likely for the new joint to slip out of place.
✅ Smaller Incision & Less Scarring – Typically requires a 3- to 5-inch incision, leading to a better cosmetic outcome.
✅ Easier for Active Patients – Ideal for those eager to return to activities like walking, cycling, and low-impact exercise.

Cons:
❌ Technically Challenging – Requires a highly skilled surgeon and specialized equipment, so not all hospitals offer it.
❌ Not Ideal for All Body Types – Patients with a higher BMI or unique bone structure may not be candidates.
❌ Risk of Nerve Irritation – The lateral femoral cutaneous nerve runs near the incision site, sometimes leading to numbness.
❌ Potential for Fractures – The technique places more stress on the femur, increasing the risk of small fractures.

Posterior Hip Replacement: The Traditional, Reliable Approach

What is it?
The posterior approach is the most commonly performed hip replacement surgery. The surgeon accesses the hip joint from the back, providing a clear view of the joint and a tried-and-true technique that has been used for decades.

Pros:
✅ Widely Available & Well-Understood – Most orthopedic surgeons are trained in this method, making it a common option.
✅ Easier Surgical Access – The surgeon has a clear view of the hip joint, making the procedure more straightforward.
✅ Suitable for Most Patients – Works well for patients of all body types and bone structures.
✅ Lower Risk of Femur Fracture – Unlike the anterior approach, this technique does not put extra stress on the femur.
✅ Proven Long-Term Success – Decades of successful outcomes show this approach is highly reliable.

Cons:
❌ Longer Initial Recovery – Because muscles are cut, it takes longer to regain strength and mobility.
❌ Higher Risk of Dislocation – The posterior approach disrupts stabilizing muscles, meaning movement precautions are necessary.
❌ More Post-Op Pain – Since muscles are involved, patients tend to experience more soreness during recovery.
❌ Larger Incision & More Scarring – Typically requires an 8- to 12-inch incision, leaving a more noticeable scar.
❌ Activity Restrictions – Patients must follow strict movement precautions (e.g., no bending past 90 degrees or crossing legs) for several weeks.

So, Which Approach is Best?

Honestly? They’re both great! The success of your surgery depends more on the skill of your surgeon than the specific technique used.

In my case, I chose the posterior approach, but only because I had access to a highly reputable surgeon in my area who specialized in that method. The most important thing is to find a surgeon you trust, one with great reviews and extensive experience performing only hip replacements.

Many orthopedic surgeons today focus exclusively on one joint (hip or knee) and one surgical approach (anterior or posterior). This specialization helps ensure they are highly skilled in their chosen technique.

Want to Be Fully Prepared for Your Surgery?

Choosing a surgical approach is just one part of the journey—proper preparation is just as important for a smooth recovery. That’s why I created the 6-Week Hip Replacement Readiness Program (PREP).

In PREP, you’ll get:
✔ Personalized Coaching – Guidance tailored to your specific needs before surgery.
✔ Pre-Surgery Strength & Mobility Exercises – Build muscle and flexibility to speed up recovery.
✔ Mental & Emotional Preparation – Reduce anxiety and feel confident about your surgery.
✔ Home Setup Tips – Make your post-surgery environment safe and recovery-friendly.
✔ Exclusive Resources & Checklists – Everything you need to feel fully prepared.

Don’t go into surgery unprepared—set yourself up for success!

👉 Join the 6-Week PREP Program today! Click here to learn more.

Conclusion

Both anterior and posterior hip replacements have helped thousands of people regain mobility and live pain-free lives. The best choice for you depends on your body type, surgeon availability, and personal preferences.

Whatever approach you choose, preparing for surgery is just as important as the surgery itself. If you want guidance from someone who has done this twice, check out my Quiet Accountability and we can work together to ensure you feel confident, strong, and fully prepared for your hip replacement journey.

Let me know—are you considering anterior or posterior surgery? I’d love to hear your thoughts in the comments!