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Thomas P. Vail, MD, MBA and John J. Callaghan, MD

Although debate regarding minimally invasive hip surgery is inconclusive, information published to date on the risks and benefits of small-incision approaches focuses the discussion on quality and outcomes. Small-incision surgical approaches include the posterior, anterolateral, direct anterior, and two-incision approach. Computer navigation assists in mapping hip replacement surgery. Obesity is a risk factor and has been found to increase complications. Patient education, pain management, and rehabilitation are important to recovery after minimal incision hip arthroplasty.