Concern about the recovery period is one of the most common reasons patients delay hip replacement surgery. In practice, modern surgical techniques have transformed what recovery looks like. Most patients are walking on the day of their operation and back to daily activities within weeks. Here is a realistic guide to what the first 12 weeks involve.

Days 1 to 3: The Hospital Stay

The typical hospital stay following hip replacement is one to three nights. On the day of your surgery, a physiotherapist will help you to stand and take your first steps with a walking aid. Early mobilisation is a core part of the modern approach to joint replacement recovery — it reduces the risk of blood clots, prevents stiffness from setting in, and begins the process of rebuilding confidence in the new joint.

Weeks 1 to 2: Home Recovery

Once home, the focus is on keeping the hip moving while protecting the repair as it heals. A walking frame or crutches will be needed initially. Depending on the surgical approach used, there will be specific movements to avoid — such as crossing your legs or bending the hip beyond 90 degrees. A physiotherapist will guide you through a set of home exercises designed to maintain range of movement and begin rebuilding the surrounding muscle.

Weeks 3 to 6: Building Strength

During this phase, most patients transition from a walking frame to a single crutch or walking stick. Swelling and discomfort should reduce steadily. The goals are short walks outside, a consistent exercise programme, and gradually increasing activity levels. Most patients are advised not to drive for the first six weeks after surgery — Mr Kosuge will confirm when it is appropriate for you.

Weeks 6 to 12: Returning to Normal

By the six-week mark, many patients are walking without a walking aid and already experiencing a marked improvement in pain compared to before surgery. Mr Kosuge reviews progress at the six-week post-operative appointment and advises on returning to activities such as driving, swimming, and gentle exercise. By 12 weeks, the majority of patients are back to most normal daily activities and continuing to improve.

What Helps Recovery Go Well

Preparation before surgery makes a real difference. Being as physically active as possible beforehand, maintaining a healthy weight, and stopping smoking if applicable all contribute to a smoother and faster recovery. Mr Kosuge's team will provide personalised pre-operative guidance as part of your care pathway.

If you are considering hip replacement and want to understand the full process — from consultation through to recovery — Mr Kosuge is happy to discuss this in detail at an initial appointment.

To book an appointment with Mr Kosuge at The Rivers Hospital:

• Online booking

• Telephone: 01279 602675

As part of his role at The Princess Alexandra Hospital NHS Trust, Mr Kosuge provides orthopaedic trauma services aimed at treating patients who have sustained injuries and fractures affecting their upper and lower limbs. Whilst Mr Kosuge enjoys elective hip surgery and knee surgery, he also enjoys looking after patients who have broken their bone(s). During his trauma duties, he performs surgery to fix broken bones affecting various parts of the body and he finds this variety stimulating.

In recognition of this and his educational interests, Mr Kosuge is extremely proud to have been a member of faculty at the recently run AO Trauma Blended Course - Basic Principles of Fracture Management held in Leeds, UK. This was his second time at this annually held national course which is aimed at educating trainee orthopaedic surgeons. Mr Kosuge enjoys being involved in the training of orthopaedic surgeons in the work setting on a daily basis but also finds fulfilment in teaching on more formal platforms such as this.

Mr Kosuge hopes to have a long career with AO Trauma and with the education of future orthopaedic surgeons.