Published on Aug 21, 2017 There’s the anterior approach, posterior approach, direct superior approach, anterolateral approach, direct lateral approach, among others. They’ve all come in and out of favor at some point with orthopedic surgeons. The most important thing when deciding your joint replacement approach is the relationship you have with your surgeon. If you go to somebody that does a posterior approach and not an anterior, but you really like them, this could be a great option for your hip or knee replacement. Some benefits with the anterior hip surgery are: reduction in postoperative pain and closer to a normal gait in the first six weeks after surgery (after six weeks, the other approaches catch-up and are pretty similar). Some downsides with the anterior approach hip replacement: A longer procedure time; potential for increased blood loss; less common surgical method so not as many expert surgeons available to perform it; a slightly more complicated surgical procedure. The posterior approach is the tried and true method. It has been around as long as hip replacements have been around. It’s an approach that almost all hip surgeons are trained in and are very comfortable with. On the downside, after surgery you may have a slightly higher pain level and a slightly abnormal gait compared to anterior. Play this video to hear what Dr. Wayne Trevor North, orthopedic surgeon at Henry Ford in Detroit, Michigan has to say about on this subject.