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For Patients · Day of surgery

Step by step: your day of surgery

Knowing what a day of surgery looks like can make it feel less daunting. These photographs, taken during a real hip replacement with Dr. Khoshbin and the team at St. Michael's Hospital, walk through the key steps of the day, from the anaesthetic to the recovery area.

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The photographs below were taken during an actual hip replacement. The patient's face has been blurred or cropped out for privacy. Some images show the operation itself, so you may prefer to skip ahead if you would rather not see them.

1Anaesthetic

The spinal anaesthetic

Most hip replacements here are done under a spinal anaesthetic, usually with light sedation. The anaesthetist numbs the lower half of your body so you feel no pain, while you rest.

Anaesthetist preparing a spinal anaesthetic
The anaesthetist prepares your spinal anaesthetic.
Spinal anaesthetic being placed in the patient's back
The spinal is placed while you sit still for a moment.
2Positioning

On the Hana table

For the direct anterior approach, you are positioned on a specialised table called the Hana table. It supports and gently moves your legs so the surgeon can reach the hip from the front, without cutting the muscles at the back.

The Hana surgical table set up for a front-approach hip replacement
The Hana table, set up for a front-approach hip replacement.
Operating room prepared for hip replacement surgery
Your legs rest in supports so the hip can be reached from the front.
3The operation

Replacing the joint

Working through one incision at the front of the hip, the surgeon removes the worn joint and shapes the bone for the new one. The team watches over you the whole time.

Surgical team positioning the leg as hip surgery begins
The team positions your leg as the operation begins.
Surgeons preparing the bone during hip replacement
The worn joint is removed and the bone prepared for the implant.
Video

Inside the operating room

Dr. Khoshbin performs the operation, and a hip replacement is never a one-person job. An anaesthetist, surgical assistants, a scrub nurse, a circulating nurse, and an X-ray technologist all work around the table, retracting, passing instruments, moving the leg, and checking each step. These short, silent clips from a real operation show that team at work.

The team around the table (0:40, silent)
Assistants and scrub team during the operation (0:26, silent)
Working together at the hip (0:19, silent)
Two moments from later in the operation (0:50, silent)
4The implant

Choosing and sizing the new hip

A new hip has a few parts: a cup for the socket, a stem for the thigh bone, and a smooth ball that sits between them. The surgeon tries different sizes to find the fit that matches your body and moves well.

Hip replacement implant components on a surgical tray
The new cup and ball, ready to be fitted.
Trial implant heads in several sizes
Trial pieces in different sizes help find the right fit.
5Closing

Closing up and recovery

Once the new hip is in place and moving smoothly, the surgeon closes the incision in layers. You are then taken to the recovery area, where the day-of-surgery team looks after you.

Surgeon closing the incision after hip replacement
The incision is closed in layers once the new hip is set.
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These photographs show one patient's surgery and are for general information. Your own experience, and the details of your operation, will depend on your health and your surgical plan. Your surgical team's advice comes first.