Hip replacements are required for patients with arthritis of the hip. This may be osteoarthritis, related to age or due to avascular necrosis of the hip, rheumatoid arthritis or ankylosing spondylitis etc. It may also be the best treatment for a middle aged, fit person with a fracture of the femur neck. Hip replacements offer the advantage of early pain relief, quick mobilization, return to early sporting activity. For the Indian patient, the newer implants can even permit sitting cross legged if need be.