Hip Replacement Guide: How to Tell a Patient They Need Surgery & Resources to Share

Talking to a patient about hip replacement surgery requires sensitivity, reassurance, and clear information. Many patients delay surgery out of fear or uncertainty, even when their quality of life is severely affected. Your role as a GP or healthcare provider is to guide them through the decision with empathy and clarity.

Here’s a step-by-step approach to structuring the conversation effectively.

1. Knowing When It's Time to Talk About Surgery

Patients often hesitate to consider surgery, even when their symptoms have significantly worsened. It's time to have this conversation if:

Pain is affecting their daily activities (e.g., struggling to walk, get dressed, or sleep)
They’ve tried other treatments like physiotherapy, weight loss, or pain medication without success.
Hip pain is causing mental distress, such as frustration, depression, or isolation.
They frequently ask, “Is there anything else we can do?”

If you recognise these signs, it’s time to broach the subject of surgery.

2. How to Start the Conversation

Many patients fear surgery, so how you introduce the topic matters. Instead of stating outright, “You need a hip replacement,” try a gentler approach that encourages discussion.

Start by Asking Open-Ended Questions

Rather than leading with a recommendation, ask about their experience first. This makes them feel heard and helps them realise the impact of their symptoms.

"How is your hip pain affecting your daily life?"
"Are there things you’ve had to stop doing because of the pain?"
"How are you feeling about your current treatment? Do you think it’s still helping?"

This allows the patient to reflect on their struggles, making them more open to discussing solutions.

Gently Introduce Surgery as an Option

Once the patient has expressed their difficulties, you can transition into discussing surgery as a possible next step.

"Based on what you’ve told me, it sounds like your hip pain is having a big impact on your life. Since other treatments haven’t provided enough relief, it may be time to consider a hip replacement.”
“A lot of my patients in your situation find that surgery helps them regain mobility and significantly reduces their pain. Would you like to talk through what’s involved?”

This approach makes surgery feel like a natural progression, rather than a last resort.

3. Addressing Patient Concerns & Fears

Many patients will immediately have concerns about surgery. Address these openly and honestly, without dismissing their fears.

“I’m worried about the pain.”

Acknowledge the concern: “That’s completely understandable. Pain management has come a long way, and most patients find that recovery is much more manageable than they expected.”
Explain the plan: “You’ll have a tailored pain management plan, including medications and physiotherapy to help you move comfortably.”

“What if something goes wrong?”

Be upfront but reassuring: "Like any surgery, there are risks, but serious complications are rare. Your surgical team takes every precaution to keep you safe."
Offer perspective: “For most people, the benefits of reduced pain and better mobility far outweigh the risks.”

“How long will recovery take?”

Set realistic expectations: “Most patients start walking with support within a day or two. It takes about 6–12 weeks to get back to normal activities, with gradual improvements over time.”

“How much will it cost?”

Offer clarity: “Medicare covers part of the cost, and private health insurance may cover more. I can help you find out what your options are.”

4. Helping the Patient Feel in Control of Their Decision

It’s important that the patient feels empowered rather than pressured.

“You don’t have to decide today. I’ll give you some resources so you can learn more, and we can talk again at your next appointment.”
“Would it help if I referred you to a specialist for more information?”

This approach gives them space to process the idea while knowing you’re there for support.

5. Resources to Share with Patients

Once the patient is open to learning more, provide them with reliable sources so they can make an informed decision.

A patient has the right to explore a second opinion if they are unsure about surgery. If they’re interested in learning more, they can read:

📖 Do I Really Need a Hip Replacement? Should I Get a Second Opinion?

Many patients also want to understand what to expect after surgery. If they’re wondering about recovery time, pain management, and getting back to daily activities, direct them to:

📖 What’s Recovery Like After a Hip Replacement?

These resources will help your patients feel more confident about their decision and better prepared for the journey ahead.

Final Thoughts: Supporting Your Patient’s Journey

Hip replacement can be life-changing, but making the decision can be overwhelming for patients. By starting the conversation with empathy, addressing their concerns, and providing reliable resources, you can help them feel informed and confident about their next steps.

Would you like additional support in guiding your patients through this decision? Feel free to reach out, and let’s work together to ensure they receive the best possible care.