Some patients have degenerative problems in both hips that can cause severe pain and reduced mobility. If this significantly interferes with your ability to perform everyday activities and non-surgical support is no longer effective, your doctor may recommend a bilateral hip replacement.

Also known as a double hip replacement, this simply refers to a total hip replacement procedure that is performed on both sides of the body. It can either be carried out simultaneously in the same operation, or as a staged procedure. The damaged parts of the hip joint are replaced with ceramic, metal or plastic parts that mimic the natural movement of the hip.

During the procedure, the ball-shaped femoral head at the top of the thighbone is removed and replaced by an artificial ball and stem. The damaged surface of the socket is also replaced, and a ceramic or plastic spacer is inserted between the ball and socket to facilitate a smooth and gliding movement.

Is it right for me?

The decision to have hip replacement surgery is very personal and should be taken in conjunction with ongoing medical advice from your treating doctor. The most common reason for a bilateral hip replacement is usually severe arthritis. This condition can greatly impact everyday life activities causing severe pain, stiffness and reduced mobility. 

There are benefits and risks to a simultaneous bilateral hip replacement. Advantages may include one operation, one anaesthetic, and one recovery. However, there are additional risks involved with a longer surgery, a longer hospital stay, and possibly a longer recovery. Whilst the staged procedure can avoid many of these risks, it does involve separate operations each with their own rehabilitation and recovery periods. The most suitable patients for simultaneous bilateral hip surgery tend to be younger, active and generally in good health so that they are able to comfortably manage the demands of the procedure and the rehabilitation process.

Familiarising yourself with your treatment program and understanding the recovery process are important steps to take on the pathway to surgery.

• Patient journey - Hip Surgery