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Other Hip Treatments
Private Hip Replacement in London
Dr Arj Imbuldeniya is a consultant hip surgeon offering private hip replacement in London at Cromwell Hospital, using either the Röttinger anterior approach or the posterior approach, chosen for your hip rather than by habit. Self-pay and insured patients are both welcome, his surgeon's fees are published, and his team gives you one written estimate for the whole operation before you commit.
Do I Need a Hip Replacement?
You need a hip replacement when arthritis has worn the joint to the point that pain, stiffness and lost movement are shaping your life, and the measures that should help have been given a fair chance and have not. Two things go wrong in hip care, in opposite directions. Some people are offered an operation before anyone has tried to make the hip, and the person around it, stronger. Others are kept in months of exercises and injections for a hip that is past the point where those will help, and lose a year of life they did not need to lose. My job is to tell you honestly which one you are, and I am a surgeon who operates often and also runs a structured non-surgical programme, so I have no reason to push you either way. You can read how I approach the earlier stages on my hip arthritis treatment page.
Which Hip Replacement Approach Is Right for Me?
The right approach is the one that suits your hip, and I perform more than one so that I can choose honestly. For many patients that is the Röttinger approach, an anterior hip replacement that reaches the joint through a natural gap between muscles, which tends to make the first few weeks easier. For some hips, a different approach is safer: very stiff joints, fragile bone, hips with previous surgery or metalwork, and some complex shapes of hip are among them, and for these the posterior hip replacement or another approach may be the better choice. By a year, results across the main approaches come together, so the choice is about getting you safely through the operation and the early weeks. I compare the options in detail on which hip replacement approach is best.
Treatment Planned Around You
No two hip replacements I do are planned the same way, because no two patients are the same. Your weight, your general health, your bone quality, your anatomy, how you sleep and eat, and the shape of your daily life, whether that is work, children or caring for someone else, all change the plan. Preparation before the operation matters as much as the operation itself, so we work on strength, health and recovery planning beforehand, and set goals that fit your real life rather than an ideal one.
How Much Does a Private Hip Replacement Cost?
The simplest option is a fixed price. A Röttinger anterior hip replacement with me at Cromwell Hospital is available as an all-inclusive self-pay package of £16,400, covering consultation, surgery, implant, hospital stay and follow-up, and Cromwell Hospital sets it out on its Rapid Return hip replacement page. Otherwise, my surgeon's fee for a Röttinger anterior hip replacement is £3,469 to £3,685, and a private hip replacement quote has three parts: my fee, the hospital fee, which covers your stay, theatre, implant and nursing, and the anaesthetist's fee. My team gives you all three in one written estimate before anything is booked. The full breakdown is on my hip replacement cost page, and a first consultation is £350.
Recovery After a Private Hip Replacement
Around 95% of suitable patients in my own series of Röttinger hip replacements return home within 24 hours. Recovery is a process over weeks and months, and you are supported through it with a clear rehabilitation plan. You can read what to expect week by week on my hip replacement recovery page.
Frequently Asked Questions
A Röttinger anterior hip replacement with me at Cromwell Hospital is £16,400 as an all-inclusive self-pay package. If you prefer separate fees, my surgeon's fee is £3,469 to £3,685, with the hospital and anaesthetist fees added in one written estimate.
Yes. Many of my patients are self-paying, and you receive a written all-in estimate before anything is booked.
I operate at Cromwell Hospital in Kensington, The Lister Hospital in Chelsea and the Clementine Churchill Hospital in Harrow. Röttinger anterior hip replacements are done at Cromwell Hospital.
An anterior hip replacement is done from the front of the hip through a gap between muscles, and tends to make the first few weeks easier. A posterior hip replacement is done from the back and suits some hips better. By a year, results come together.
It depends on your preparation and the hospital's theatre schedule once we have agreed surgery is right for you. My team will give you dates at your consultation.
For many people the deciding factors are time and choice: you choose your surgeon, you choose the approach, and surgery usually follows within weeks of your consultation rather than months. If arthritis is costing you sleep, work or independence, that time matters.
It varies widely by hospital and changes month to month. The NHS My Planned Care website shows current waits at local hospitals, and privately, surgery is usually scheduled within weeks of your consultation.
Yes, it is a major operation, but a very well established one. Most people are up and walking on the day of surgery or the next morning, and around 95% of suitable patients in my own Röttinger series go home within 24 hours.
The operation itself usually takes between 45 and 90 minutes. The time varies with the surgical approach, the shape of your hip and your build, and I always take the time each hip needs. With preparation, the anaesthetic and recovery, expect to be away from the ward for a few hours.
Yes, and for hip replacement I strongly recommend it. A spinal anaesthetic numbs you from the waist down, and I combine it with local anaesthetic infiltrated around the joint during surgery to help with pain control afterwards. It can be combined with sedation, so you are relaxed and often asleep. This approach sits within NICE guidance, and your anaesthetist will go through the options with you before surgery.
A large review of national joint registry data, published in The Lancet in 2019, found that around 58% of hip replacements, nearly 6 in 10, were still working 25 years after surgery. Staying active, keeping a healthy weight and avoiding high-impact sport all help yours last.
Call 0207 859 4016, email admin@ortholongevity.co.uk, or book online.
Why Choose OrthoLongevity?
At OrthoLongevity, we deliver care built on innovation, compassion and clinical excellence. Led by Dr Arj Imbuldeniya, our clinic uses advanced therapies within our holistic Ortholongevity™ approach to help patients regain mobility and improve their quality of life. With access to the latest technologies and a dedicated, compassionate team, we focus on finding the right treatment for every individual.
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