The skill and the experience of orthopedic surgeon is far more important than the device or the procedure. The procedure maybe done using different approaches, the anterior and posterior approach, etc. The device that is the total hip replacement part may be from a variety of implant manufacturers. Most of the implant manufacturers have implants that are equal in quality. It is very important to select orthopedic surgeon who does joint replacement surgery on a regular basis and we strongly recommended that the orthopedic surgeon be fellowship trained in the joint replacement surgery.