Hip · Direct anterior approach

Hip replacement surgery in Canada

Direct 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.

  • Most patients walking same day
  • Typically home in 2–3 days
  • Surgery in 2–4 weeks
  • No referral required
Patient walking along a waterfront path after hip replacement recovery
5.0 from 250+ reviews
Most patients walk same day

At a glance

Hip replacement 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.

1–3 days
to first consultation
2–4 weeks
from consult to surgery
Same day
most patients walking, with assistance
20+ years
implant design life
Patient stories

Recovery, in their words.

5.0 from 250+ patient reviews

I had my hip replacement 3 days ago with Dr. Rodriguez at the Montreal clinic. The entire experience was amazing... This is Monday — day 3 after the surgery and I can walk slowly without a cane or a walker with very manageable pain.

Doug Soper

Hip replacement

Had both hips done at same time. Was in less pain than before operation after 3 days. Went for a 10 km bike ride 2 weeks after surgery. It's now 3 weeks after surgery and I can't even find my cane anymore. Life changing.

Terry Oosterhuis

Bilateral hip replacement

I had double hip surgery at Pathway Surgery. This was the best financial decision I've ever made for my health. Dr. Rodriguez was truly amazing. My pain was gone immediately and I was up walking the very next day.

Linda Baysarowich

Bilateral hip replacement

The condition

Understanding hip osteoarthritis.

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.

Surgical approach

The direct anterior approach.

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.

  • Muscles separated, not cut
  • Earlier mobilization and walking
  • Fewer post-operative restrictions
  • Reduced dislocation risk
HANA Surgical Table for Direct Anterior Hip Replacement

HANA® surgical table

Specialized table designed for the Direct Anterior Approach, providing optimal positioning and real-time fluoroscopic imaging during surgery.

Surgeon insights

Hear from our surgeons.

Our fellowship-trained surgeons explain hip replacement in plain language — from diagnosis to recovery.

25 min Jan 2026

Hip replacement FAQ

Implants, recovery timeline, and the anterior approach.

Full Q&A guide
40 min Feb 2026

Robotics in hip replacement

How robotic technology improves outcomes with the anterior approach.

Full Q&A guide
55 min Dec 2025

All things hip surgery

Arthroscopy vs. replacement, resurfacing, and the direct anterior approach.

Full Q&A guide
Surgical technology

Robotic & digital precision.

ROSA Hip System robotic surgical assistant

ROSA® Hip System

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

  • Sub-millimeter accuracy
  • Haptic feedback guidance
  • Personalized to your anatomy
VELYS Hip Navigation digital surgical system

VELYS™ Hip Navigation

Digital navigation system that maps your anatomy for precision guidance without a robotic arm.

  • Real-time alignment data
  • Reduced radiation exposure
  • Tailored implant positioning

Your surgeon will recommend the technology best suited for your anatomy. The surgeon remains in full control throughout.

Implant technology

Premium hip components.

We use only proven, high-performance implant systems designed for longevity and optimal function.

G7 Avenir Complete Hip System

G7 Avenir® Complete

Acetabular cup system with advanced bearing surfaces for reduced wear.

  • Vivacit-E® highly crosslinked polyethylene
  • Porous titanium for bone ingrowth
  • Designed for cementless fixation
ACTIS Total Hip Stem

ACTIS® Total Hip Stem

Optimized for the Direct Anterior Approach with tissue-sparing design.

  • Shortened, curved geometry for easier insertion
  • Preserves greater trochanter bone
  • Designed specifically for anterior approach
Your surgeons

Our hip replacement specialists.

Royal College board-certified (FRCSC) and fellowship-trained in hip and joint replacement surgery.

Your journey

From consultation to recovery.

  1. 1

    Before

    Consultation

    Imaging review and diagnosis

  2. 2

    3D planning

    Personalized surgical blueprint

  3. 3

    Day of

    Surgery

    Direct anterior approach

  4. 4

    After

    Walking

    Most patients, same day

  5. 5

    Recovery

    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

FAQ

Frequently asked questions.

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.

Next step

Start your care journey.

Schedule an evaluation to discuss your eligibility for hip replacement surgery. No referral required.

Related links

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