Hip Replacement vs. Hip Resurfacing: Which Is Right for You?

July 30, 2025

Facing the possibility of hip replacement or hip resurfacing can feel overwhelming. At Ribera Care International, we specialize in helping international patients access expert orthopedic care at top hospitals like IMSKE in Valencia, offering advanced surgical techniques, personalized attention, and an excellent recovery environment in Spain.

This article provides a comparison between hip replacement and hip resurfacing to help you understand their differences, benefits, risks and recovery expectations so you can select the most suitable option for your mobility and quality of life recovery.

What Is Hip Replacement Surgery?

Hip replacement surgery also known as hip arthroplasty requires the replacement of hip joint components with artificial hip prosthesis. The procedure is usually performed on patients who have severe arthritis or significant joint damage or chronic pain that prevents them from performing their daily activities.

When Is It Recommended?

Severe osteoarthritis or rheumatoid arthritis
Advanced avascular necrosis
Major trauma or fractures
Failed previous hip procedures

Types of Hip Replacements in Spain

Total Hip Replacement (THR): Replaces both the femoral head and the acetabulum.
Partial Hip Replacement: Only the femoral head is replaced.
Minimally Invasive Hip Replacement: Smaller incisions, quicker recovery.

Benefits of Hip Replacement in Spain

Proven long-term results
Suitable for older, less active patients
Wide availability of orthopedic hip implants
Improved quality of life and pain relief

You can learn more about the procedure in our article about “Hip Replacement Surgery (Arthroplasty): Before, During, and After the Procedure”.

What Is Hip Resurfacing Surgery?

Hip resurfacing surgery is a bone-preserving alternative to total hip replacement. Instead of removing the femoral head entirely, the surgeon trims and caps it with a smooth metal covering, while also resurfacing the hip socket.

When Is Hip Resurfacing Recommended?

Younger, more active patients
Strong bone quality
Patients who want to delay a full hip replacement

Hip Resurfacing Procedure Overview

The femoral head is reshaped, not removed.
A metal cap is placed over it.
The acetabulum is fitted with a metal cup.

Advantages of Hip Resurfacing

Preserves more bone for potential future surgeries
Lower dislocation rates
Better suited for active lifestyles and sports

Risks and Considerations

Not suitable for people with osteoporosis or small bone structures
Metal-on-metal implants may raise concerns in some cases
Slightly higher risk of femoral neck fractures

Hip Replacement vs. Hip Resurfacing in Spain: Key Differences

When comparing hip replacement and hip resurfacing in Spain, several factors can help you understand which option might be more suitable for your situation:

Bone Preservation

Hip replacement involves removing more bone from the femoral head and socket.
Hip resurfacing preserves most of the femoral head, which can be beneficial for potential future surgeries.

Suitability by Age and Activity

Hip replacement is typically recommended for older adults or those with lower activity levels.
Hip resurfacing is better suited for younger, more active patients who want to maintain a higher range of motion and bone integrity.

Implant Longevity

Hip replacements tend to have long-term durability, often lasting 15–20 years or more.
Resurfacing implants can also last long, but their longevity may vary depending on the patient’s activity level and implant materials.

Risk of Dislocation

Hip replacement carries a slightly higher risk of dislocation due to changes in joint structure.
Hip resurfacing tends to offer a lower risk of dislocation, making it attractive for patients engaged in physical activity or sports.

Ease of Revision Surgery

Hip replacement revisions can be more complex due to greater bone loss.
Hip resurfacing revisions are generally easier since more of the original bone structure is preserved.

Recovery Time

Both procedures follow a similar timeline for initial recovery (around 4–6 weeks).
Some resurfacing patients report a quicker return to high-impact activities, though this varies by individual.

Recovery: What to Expect

Hip Replacement Recovery Time

Hospital stay: 2–4 days
Walking with support: Within a week
Driving: 4–6 weeks
Full recovery: 3–6 months
Follow a hip replacement rehab protocol including physical therapy and home exercises

Hip Resurfacing Recovery Time

Similar timeline as replacement
May allow for higher-impact activities post-recovery
Return to sports often faster in suitable candidates

Cost Comparison

Hip Replacement Surgery Cost

In Spain or similar destinations: from €8,000–€12,000
Includes hospital stay, surgery, and basic rehab
Lower than in countries like the US or UK

Hip Resurfacing Cost

Slightly lower or similar to total hip replacement
Depends on implant brand and complexity
Fewer hospitals offer this, so cost may vary

Planning surgery abroad? Ribera Care International offers transparent pricing, dedicated support for international patients, and access to top-tier orthopedic hospitals such as IMSKE in Valencia, renowned for hip and knee surgery in Spain using advanced technology and expert medical teams.

Our specialists not only perform cutting-edge procedures, but also guide each patient through a personalized rehabilitation journey. Discover how our international patients successfully recover and return to sports after knee surgery, regaining mobility and confidence in one of Europe’s most trusted healthcare destinations.

How to Choose: Which Surgery Is Right for You?

Choose Hip Replacement If:

You are over 60
You have advanced joint damage
You lead a low-to-moderate activity lifestyle
You seek a well-established procedure with predictable outcomes

Choose Hip Resurfacing If:

You are under 60 and active
You want to preserve bone
You plan to stay active in sports
You have good bone quality and no metal allergies

What’s New in Hip Surgery in Spain?

Robot-assisted surgery for greater precision
New materials beyond metal-on-metal (e.g., ceramic)
Shorter hospital stays and same-day discharge options
Personalized implants based on 3D imaging

The selection between hip replacement and hip resurfacing surgery depends on your age along with your activity level and bone health and personal objectives. The decision between these procedures depends on your age and activity level and bone health and personal goals. Always consult with an experienced orthopedic hip specialist to evaluate your specific case. Ribera Care International can guide you through the entire process, from consultation to recovery, at leading hospitals like IMSKE in Valencia.

FAQs about Hip Replacement and Hip Resurfacing

What is the difference between hip replacement and hip resurfacing?

Hip replacement removes the entire femoral head, while hip resurfacing preserves most of the bone by capping it with a smooth metal surface.

Is hip resurfacing safer than hip replacement?

Each has risks. The procedure provides better safety for young and active patients but doctors should not recommend it to all patients.

How long do hip implants last?

Hip replacements can last from 15 to 20 years or more. Resurfacing implants may need earlier revision in very active patients.

How painful is the recovery?

Both involve post-operative discomfort, but pain is typically well managed with medication and physical therapy.

Is it safe to travel for hip surgery abroad?

Yes. Ribera Care International provides safe and convenient international hip surgery travel options for patients. The company handles all aspects of international patient care by connecting patients to top orthopedic hospitals in Spain including IMSKE in Valencia which provides state-of-the-art surgical methods and skilled hip surgeons and individualized care from arrival to departure.