Inclusion Criteria:  Adults (≥18 years old) who require an inpatient primary total hip arthroplasty under spinal anesthesia Written consent Any gender  Exclusion Criteria:  Patients who require revision surgery Anesthesia other than spinal (general, epidural, other) Body mass index (BMI) > 45 kg/m2 Allergies to study medication Previous fracture to affected area Previous surgery to the affected hip Diagnosis other than osteoarthritis (avascular necrosis, significant deformity such as post-Perthes, slipped capital femoral epiphysis, dysplasia classified as Crowe 3 or 4, or other diagnoses causing significant deformity of the femoral head or acetabulum) THA for hip fractures Patients taking daily opiod analgesics pre-operatively Anesthetist on day of surgery who does not perform FICB and PENG and no alternate anesthetist available to perform the block Patients who do not understand, read or communicate in either French or English