Hip replacement FAQ
Implants, recovery timeline, and the anterior approach.
Full Q&A guideDirect anterior hip replacement goes between major muscles instead of cutting through them, with ROSA® or VELYS™ robotic guidance for precise implant positioning. Consultations with our fellowship-trained Canadian surgeons in 1–3 days, with surgery typically 2–4 weeks later. Most patients are walking the same day and home within 2–3 days. Modern implants are designed to last 20+ years.
At Pathway, our fellowship-trained hip surgeons perform direct anterior hip replacement using a muscle-sparing approach. Consultations are available in 1–3 days, with surgery typically 2–4 weeks later.
At a glance
Direct anterior hip replacement goes between major muscles instead of cutting through them, with ROSA® or VELYS™ guidance to support precise implant positioning.
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The hip joint is designed for durability, but cartilage can degrade over time due to age, genetics, or activity. This degeneration — osteoarthritis — causes pain, stiffness, and reduced mobility.
When conservative treatments no longer provide relief, hip replacement may restore function and quality of life.
Our surgeons use the Direct Anterior Approach — a muscle-sparing technique that accesses the hip through a natural interval between muscles rather than cutting through them.

Specialized table designed for the Direct Anterior Approach, providing optimal positioning and real-time fluoroscopic imaging during surgery.
Our fellowship-trained surgeons explain hip replacement in plain language — from diagnosis to recovery.

Robotic arm that assists with bone preparation and implant positioning using real-time 3D mapping.

Digital navigation system that maps your anatomy for precision guidance without a robotic arm.
Your surgeon will recommend the technology best suited for your anatomy. The surgeon remains in full control throughout.
We use only proven, high-performance implant systems designed for longevity and optimal function.

Acetabular cup system with advanced bearing surfaces for reduced wear.

Optimized for the Direct Anterior Approach with tissue-sparing design.
Royal College board-certified (FRCSC) and fellowship-trained in hip and joint replacement surgery.
Before
1Before
Imaging review and diagnosis
2
Personalized surgical blueprint
Day of
3Day of
Direct anterior approach
After
4After
Most patients, same day
5
Guided rehab and ongoing support
2–4 weeks
Driving
Once off pain medication
6–8 weeks
Light activity
Walking, swimming, golf
20+ years
Implant longevity
With proper care
The Direct Anterior Approach is a muscle-sparing technique that accesses the hip through a natural interval between muscles rather than cutting through them. This typically results in faster recovery, fewer post-operative restrictions, and reduced dislocation risk.
ROSA is a robotic arm that assists with bone preparation and implant positioning using real-time 3D mapping and haptic feedback. VELYS is a digital navigation system that provides precision guidance without a robotic arm. Your surgeon will recommend the appropriate technology based on your anatomy.
The procedure typically takes 60 to 90 minutes. Most patients are walking with assistance on the same day and are discharged within 1 to 2 nights.
Modern hip implants are constructed from titanium and medical-grade polyethylene. With proper care and activity levels, they typically function well for 20 years or more.
Most hip replacements are performed under spinal anesthesia with sedation. This allows you to breathe on your own and typically results in less post-operative nausea. You will be comfortably asleep during the procedure.
Yes. Pathway treats patients traveling from across Canada, including Ontario, Alberta, and British Columbia, and coordinates accommodations, airport transfers, and post-operative follow-up around their surgical care.
No referral is required. You can book a consultation directly. Having recent hip X-rays or MRI is helpful but not mandatory—we can arrange imaging if needed.
As with any surgery, hip replacement carries risks including infection, blood clots, and dislocation. The Direct Anterior Approach and robotic technology are designed to minimize these risks. Your surgeon will discuss your individual risk profile during consultation.
Most direct anterior hip replacement patients walk with a walker the same day as surgery, are discharged from the hospital within 2–3 days, and transition off the walker to a cane within 1–2 weeks. Because the anterior approach goes between major muscles rather than cutting through them, many patients return to driving by 2–3 weeks (right hip; left hip earlier if automatic), desk work by 2–4 weeks, and most normal daily activities by 6 weeks. Full recovery — including return to higher-impact activities like hiking or doubles tennis — typically takes 3–6 months, though this varies with pre-operative fitness and rehab adherence. Your surgeon will tailor activity restrictions to your case.
Schedule an evaluation to discuss your eligibility for hip replacement surgery. No referral required.