Hip prosthesis (joint replacement)
Assessment for pain and limitation due to hip wear when conservative management is no longer achieving the expected control.
In this assessment you can obtain:
- Clarity on whether joint replacement is a reasonable option for you (or if another route is appropriate).
- A next step plan: studies, alternatives and preparation.
- Logistical guidance: location, timing and how insurance/refund works (if applicable).
What is a hip prosthesis and when is it needed?
The hip prosthesis (total hip replacement) replaces damaged parts of the joint with an implant to improve pain and function in selected cases. The indication is defined in consultation with examination and studies.
When is it time to take the next step?
It is usually considered when pain and limitation hinder daily activities (walking, getting up, sleeping) and when other options have not given the expected result. The decision is individual.
Do any of these situations describe you?
Hip pain that limits walking or basic activities.
Stiffness or loss of mobility.
Previous diagnosis of joint wear and tear (degenerative joint disease/arthrosis).
Doubts about whether “it is time” to operate or if there are alternatives.
For whom does it apply (and when is it not the first choice)?
The main origin of the pain appears to be from another structure (defined in assessment). An adequate conservative plan has not yet been tried (to be individualized).
What you get in the valuation
What you do take away:
- Clinical examination focused on the hip.
- Review of studies (if you already have X-rays/MRI).
- Definition of routes: conservative vs. surgical (and why).
- Preparation and follow-up plan (what's next, in what order).
Before operating, here's what we explored
Before surgery, conservative alternatives are reviewed and it is defined if joint replacement is reasonable in your case.
Targeted rehabilitation
Changes in activity
Pain management
Your recovery, step by step
Contact and Pre-assessment: We start with a message to understand your case and guide you on what studies to bring.
Consultation and Diagnosis: We evaluate your joint and review your studies to identify the exact cause of the pain.
Treatment Design: We explain the options (from therapy to surgery) honestly, without pressure.
Scheduling and Logistics: If a procedure is required, we coordinate dates, insurance and hospital details.
Guided Recovery: We do not leave you alone; we monitor your evolution until you resume your activities.
What to prepare before surgery
In clinical practice, preparation usually includes medication review, habit adjustment and home support planning for the first few days/weeks, depending on the case.
What to bring to the consultation (ideal):
- Previous studies (RX / MRI if available)
- List of medications
- Relevant background
- Key questions (we help you prioritize them)
Real risks and how we manage them
Like all surgery, this procedure has risks. In the assessment we explain which ones apply to your specific case and how we handle them.
Costs, insurance and payment options
Financial Transparency
We understand that the economic factor is key. The budget is customized according to your diagnosis, the type of implant and the hospital. We work with most of the Major Medical Insurance (GMM) and we guide you through the process. To give you an honest figure without surprises, we first perform the assessment and review of studies.
Location and logistics
Attention in Punta de Mita (Riviera Nayarit).
Frequently Asked Questions
Does the hip prosthesis “cure” osteoarthritis?
It is not a “cure”. It is a surgical option to improve function and pain in selected cases. The indication is defined after evaluation.
What are the risks?
Risks such as blood clots, infection, fracture and dislocation, among others, are described; your risk depends on your clinical situation and is explained in consultation.
Can the hip “pop” (dislocate) after surgery?
It is a complication described as infrequent, with higher risk at onset. If it occurs, it may require medical management and, in some cases, additional surgery.
Can one leg be longer than the other?
A small difference in length may occur. This is to be avoided, but sometimes stability and biomechanics are prioritized.
How long does a prosthesis last?
Implants may wear or loosen over time; duration varies according to activity and other factors.
What studies do I need?
If you already have X-rays or MRI, bring them. If not, an assessment will be carried out to determine which studies are most useful in your case.
How is cost defined?
Depends on hospital, implant/supplies and complexity. It is quoted after evaluation with studies.
Do you serve international patients?
Yes, with logistics to coordinate consultation and review of studies. See: /patients-international/

Dr. Francisco Rafael Hernández Pérez
Specialist in Orthopedics and Traumatology
- Prof. Card 8042876
- Cédula Esp. 10625160
- Punta Mita Hospital, Nayarit
Read reviews on Google
Do you have specific questions?

Dr. Francisco Rafael Hernández Pérez
Specialist in Orthopedics and Traumatology
- Prof. Card 8042876
- Cédula Esp. 10625160
- Punta Mita Hospital, Nayarit
Read reviews on Google