On the day of surgery you will first be taken to the pre-anesthesia room where the anesthesiologist will discuss the anesthesia options. Two types of anesthesia are commonly used for hip surgery. The first is a general anesthesia, which puts you in a deep sleep and therefore requires assistance with your breathing. The risks are small and usually are related to the heart or lungs. The second type of anesthesia (epidural anesthesia) works by numbing your legs so you do not feel the operation. This is done by placing numbing medicine around the nerves that go to your legs using a small catheter in your lower back. You are also given medicine to relax you and you may fall asleep, but you can still breathe on your own. The potential advantages of the epidural anesthesia include less blood loss and less risk of lung problems and blood clots in the legs. Also, the epidural can be continued after your surgery to help control the pain. If you are young and/or without vascular disease, your surgeon and anesthesiologist may employ methods to lower blood pressure (hypotensive anesthesia) to further reduce blood loss.

You will then be taken to the operating room and devices will be used to monitor your heart, blood pressure, breathing and temperature. The anesthesia will be administered, you will be placed on your side with the operative side up, and a slightly curved incision will be made over your hip. After the implant is placed, the incision is then closed with resorbable sutures (no need for removal) and a compression dressing is applied.