Can both hips be replaced at the same time?

Yes, both hips can sometimes be replaced during the same operation. This is called simultaneous bilateral hip replacement. However, it is not suitable for every patient.

Replacing both hips together can mean one hospital admission, one anaesthetic, and one rehabilitation period. It may be considered when both hip joints are severely damaged and the patient is otherwise medically fit.

When simultaneous surgery may be considered

• Both hips have advanced arthritis or significant joint damage.
• Pain and restricted movement affect both sides.
• The patient is medically fit enough for a longer operation.
• Heart, lung, kidney, and other major health conditions are well controlled.
• Adequate rehabilitation support is available after surgery.

When staged surgery may be safer

Some patients are better suited to having one hip replaced first and the second hip operated on after recovery. This may be preferred in older patients or those with significant medical conditions because simultaneous bilateral surgery can involve greater blood loss and physiological stress.

Dr. Atul Mishra evaluates both the orthopaedic problem and the patient’s overall medical fitness before recommending simultaneous or staged hip replacement. The decision is individual rather than based only on how severe the X-rays appear.