Should you get a second opinion for hip resurfacing?
Hip resurfacing is an alternative to total hip replacement that preserves more bone and may allow a more active lifestyle. However, it is appropriate only for specific patients and has metal-on-metal bearing concerns that require careful monitoring. A second opinion from a surgeon who performs high volumes of resurfacing (not all hip surgeons do) is valuable.
Red flags - consider a second opinion if you notice these
- The surgeon does not regularly perform hip resurfacing and cannot quote their personal outcomes
- You are a woman of childbearing age - metal ion concerns are higher with resurfacing
- You have a small femoral head or significant hip deformity that makes resurfacing technically difficult
- The surgeon did not discuss metal ion monitoring and what it involves
- Total hip replacement was not discussed as a comparison
Questions to ask the second surgeon
- 1Am I a good candidate for resurfacing versus total hip replacement based on my anatomy?
- 2How many hip resurfacings do you perform per year?
- 3What metal ion monitoring do you recommend after resurfacing, and what are the triggers for revision?
- 4If resurfacing fails, can it be converted to a standard total hip replacement?
- 5What activities will I be able to do after resurfacing that I might not be able to do after total hip replacement?
What to expect from a second opinion visit
Hip resurfacing should be performed by a high-volume specialist. Seek a second opinion from a surgeon who performs at least 30-50 resurfacings per year and who can show you their personal data on outcomes and complications. Bring your hip X-rays and MRI if available.
Common questions
Who is the ideal candidate for hip resurfacing?
What are the risks of metal-on-metal hip resurfacing?
Find a Hip Replacement specialist for a second opinion
Search board-certified surgeons by specialty, location, and accepted insurance - free for patients.