Hip Replacement Surgery

Whether you need a partial or total hip replacement, find the right surgeon that fits your needs below, serving Canadians in major cities like Vancouver, British Columbia; Calgary, Alberta; Toronto, Ontario; and Montréal, Québec.

The founder of Surgency, Dr Sean Haffey smiling
Reviewed and approved by Dr. Sean Haffey
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Why use Surgency to book your surgery

For Canadians who want surgery in weeks

Surgency is a free resource by a Canadian physician in the public system to help you find the right surgeon for your needs.
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How do I get a private hip replacement in Canada?

  1. Research. Explore surgeons who specialize in private hip replacement.
  • You can find surgeons in Vancouver, British Columbia; Calgary, Alberta; Toronto, Ontario; and Montréal, Québec on our app, and review qualifications, as well as pricing.
  1. Schedule an initial consultation. Most surgeons offer in-clinic and online consults.
  • Consultations are usually booked within days or a few weeks.
  • Note: expect a consultation fee between $150 - $350
  1. Consultation. The surgeon will review your condition, symptoms, and any previous treatments or diagnostics, such as x-rays or MRIs.
  2. Post consultation. The surgeon will then review your case and provide surgical options based on your needs (i.e. total or partial replacement); review the risks and expected outcomes; and present pricing and scheduling options.
  3. Schedule your surgery date. Once you confirm the procedure and payment, the clinic will schedule your surgery—generally within a few weeks.
  • Expect pre-surgery preparation, and possibly some pre-surgery tests.
  • Regarding financing, you can learn more about your options here.
  1. Surgery. The clinic will provide you with attendance instructions.
  • The operation usually takes 2-3 hours.
  • Depending on the clinic, you might be discharged within hours of your surgery, or stay for 1-2 nights.
  1. Post-operative care. The clinic will provide you with an extensive hip replacement surgery recovery plan that includes physiotherapy, pain management, and further monitoring.
  • Note: please take post-operative care seriously. The more diligently this process is followed, the better the outcome tends to be.
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Hip replacement frequently asked questions

How do I know if a hip replacement is right for me?

Hip replacement is a major surgery, but you might be a candidate if you're experiencing chronic hip pain, osteoarthritis, rheumatoid arthritis, post-traumatic arthritis, severe joint damage, hip fractures, and/or avascular necrosis (death of bone tissue from cut off blood supply). Additionally, if you've exhausted more conservative measures such as medication, cortisone injections, and physical therapy, then you may be a candidate for hip replacement.

How much does private hip replacement surgery cost in Canada?

Hip replacement is a major surgery with significant costs. Private clinics in Canada charge between $20,000 to $34,000.

You also need to take into account the cost of travel and accommodation when travelling out of province.

Costs vary so much because of location, surgeon experience, facility type, complexity, and included services (some clinics offer all-inclusive, while others charge separately for anesthesia, followup care, etc.)

Do I need a referral?

No, you do not need a referral for private hip replacement in Canada. You can book a consultation directly with a surgeon, and they will review your condition, symptoms, and any previous treatments or diagnostics.

How long is the recovery process from hip replacement surgery?

At 4-6 weeks, you can expect ~50% improvement.

At 12 weeks, you can expect ~80% improvement.

At 1 year, you can expect full improvement, or close thereto.

Recovery varies patient to patient. For a full breakdown, see "What can I expect from the hip replacement surgery recovery process?" below.

How do I prepare for hip replacement surgery?

Your surgeon will provide you with guidance on how to prepare, but you can expect some pre-surgery exercises to help with stiffness, muscle weakness, and range of motion issues. If you smoke, you will be advised to stop to improve healing outcomes. Depending on your weight, you may be advised to diet and exercise to reduce surgical risks and improve healing outcomes.

Home prep: We recommend taking the time to rearrange your home to prepare for the first few months after surgery. Ensure everything you need is within easy reach and remove anything that presents a tripping hazard (chords, sliding rugs, loose items). You might also consider installing safety equipment like a shower chair and safety bars in your bathroom.

Support: Try to arrange for someone to stay with you for the first few days after surgery, and someone close by who can reach you in the event of an emergency for the first several weeks/months after surgery.

Work: Hip replacement recovery is difficult. If possible, you will likely need to request time off work to recover.

Post-surgery practice: You might consider 'practicing' daily activities with substantially limited range of motion, such as getting in and out of the car, getting in and out of bed, putting on and taking off shoes, etc.

What is the difference between partial and full hip replacement surgery? Which one should I get?

Partial hip replacement only replaces the femoral head, leaving the natural hip socket intact. It is less invasive and leaves more natural bone, cartilage, and ligaments intact. Can risk cartilage breakdown from the artificial ball moving against the natural socket. Only suitable for certain patients with specific hip fractures.

Full hip replacement is more common, and involves replacing the femoral head and socket with prosthetic parts. It's a more extensive procedure and removes more bone, cartilage, and ligaments; but tends to avoid future complications from natural socket wear. Suitable for patients with severe osteoarthritis, rheumatoid arthritis, or joint damage.

Most patients will be recommended total hip replacement due to better long term outcomes. Your surgeon will advise which surgery makes sense for you.

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What can I expect from the hip replacement surgery recovery process?

The recovery process varies patient to patient. Your recovery might look quite different, so please seek further guidance from your surgeon. In general here is what you can expect:

Week 1:

  • Pain, discomfort, emotion, more pain, stiffness, frustration. Week 1 is not fun.
  • Goals: Pain management, swelling reduction, initial basic movement, preventing blood clots.
  • Activities:
    • Clinic recovery for 1-3 days.
    • Assisted walking, ankle pumps, breathing exercises, and physical therapy within first day.
    • Practicing simple movements (in and out of bed, using bathroom) without assistance.
    • Pain medication management and wound care (it will be advantageous to have a friend, family member, or caretaker support you for both in the first few days).
    • Sitting: avoid sitting for long periods. And only use firm, straight backed chairs with armrests (avoid soft and reclined seats), keep hips higher than knees, avoid crossing legs and twisting motions.

Weeks 2-4:

  • The next 3 weeks are still characterized by significant discomfort, swelling, frustration, and emotional highs and lows.
  • Goals: Settling into your new routines, applying yourself to daily exercises, building up your walking, and resuming some normal daily activities.
  • Activities:
    • Wound care, possibly removing stitches.
    • Walk regularly with assistive devices, ideally transitioning from a walker to a cane. Building up to normal walking patterns without a limp.
    • Daily exercises and physio focused on a developing range of motion and simple strength building exercises.
    • Sitting: you may sit for longer periods, but continue using firm, straight backed chairs with raised seats and armrests.

Weeks 5-12:

  • These weeks are challenging, but rewarding. Focus and diligence on exercises will likely pay off, and you'll likely be able to walk again unassisted, be able to drive, and return to work if your job is not physically demanding.
  • Goals: Achieve 90° hip flexion and 25° abduction, increasing physical therapy, walk longer distances unassisted, resume most normal activities.
  • Activities:
    • More challenging physical therapy in order to improve range of motion and build strength.
    • Daily exercises. Possibly low impact activities like swimming (only if cleared by healthcare team).
    • Walking longer distances—transitioning from the use of walking aids around week 6-8.

Weeks 13-52:

  • The worst of the pain and swelling usually subsides after 12 weeks, but you'll need to stay on top of physical therapy and listen carefully to your body in the year post operation (and beyond).
  • Goals: Regain full or near-full range of motion, recover your lost strength and stamina, and slowly return to normal activity levels.
  • Activities:
    • Physical therapy may continue the entire first year post operation, gradually bringing you back to your activity levels pre-surgery.
    • Daily exercises are no longer essential once you achieve normal range of motion and strength, but routine exercise is encouraged to keep muscles strong to protect the artificial joint.
    • You will be able to return to low impact sports like golf, tennis, swimming, or cycling. For anything high impact, please consult your surgeon and physio.
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