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Health and Wellbeing

Joint Replacement Surgery

An older woman using a walking frame beside a healthcare professional in navy scrubs in a bright rehabilitation room. Illustrative scene.

Facing joint replacement surgery can bring questions about pain, mobility, recovery and managing at home. Find clear information about hip, knee and other joint replacements, with links to NHS guidance and specialist NHS hospital information.

Our information is free to use, with no hidden costs. It supports understanding and does not replace advice from your surgical team.

Sixpence Support UK is an independent information service, not part of the NHS. NHS.uk information is published for England; NHS hospital guides describe the named hospital’s care. Your own team’s instructions take priority wherever you live in the UK.

When to get urgent help

After surgery, contact your surgical team urgently or seek urgent medical advice for fever or shivering, pus or discharge from the wound, or increasing redness, swelling or pain. New calf pain or swelling also needs urgent assessment.

Call 999 for sudden difficulty breathing, chest pain or collapse, especially with a painful or swollen leg. Do not drive yourself to emergency care.

For urgent problems that are not immediately life-threatening, use your local NHS urgent-care service. NHS 111 is available by telephone in England, Scotland and Wales; in Northern Ireland use your local GP out-of-hours service.

  • England: NHS 111.
  • Scotland: NHS 111.
  • Wales: NHS 111.
  • Northern Ireland: Local GP out-of-hours service.

NHS 111 online below is for England only. Scotland and Wales have their own services.

NHS — warning signs after hip replacement

What is joint replacement?

Joint replacement surgery replaces damaged joint surfaces with artificial components. It may be considered when joint pain and reduced movement significantly affect everyday life. Your specialist will discuss whether surgery is appropriate and which alternatives may help.

Hip replacement

A total hip replacement replaces the ball and socket of the hip joint. Other procedures, including partial replacement, may be offered in particular circumstances. The operation chosen depends on the joint problem and your health.

Knee replacement

Knee replacement can involve the whole joint or, for some people, only part of it. Your surgical team will explain the available options, expected benefits and risks.

Shoulder replacement

Shoulder replacement aims to reduce pain and improve function. There are different types of replacement, and rehabilitation restrictions depend on your operation. Follow your own team's advice on slings, exercises and using the arm.

Elbow replacement

Elbow replacement may be considered for a badly damaged, painful joint. Ask your surgeon about restrictions on lifting and using the arm, including any long-term limits.

Ankle and other replacements

Some people with severe ankle joint damage may be assessed for ankle replacement or other treatment, such as fusion. Specialist surgery may also be available for selected smaller joints. Suitability and rehabilitation vary.

Alternatives and deciding on surgery

Ask about appropriate non-surgical treatments, their benefits and risks, and what might happen if you delay surgery. Decisions should take account of your symptoms, overall health and what matters to you.

Preparing for surgery

Your hospital will explain pre-operative checks, medicines, eating and drinking instructions and any preparation you need. Tell the team about your medicines, allergies, disabilities and support needs. Ask before stopping or changing any medicine.

Hospital stay and discharge

The team will explain anaesthesia, pain relief and how you will start moving safely. Before discharge, ask about wound care, medicines, follow-up appointments and who to contact if you are worried.

Hospitals and Hospital Care →

Recovery and physiotherapy

Recovery differs between joints and between people. Follow your own physiotherapist's exercises and your team's instructions about movement and weight bearing. You may need a walking aid or sling. There is no single recovery timetable that fits everyone.

Physiotherapy →

Help at home

Ask before discharge about occupational therapy, equipment and support with washing, dressing, meals, stairs and other daily tasks. Explain if you live alone or if hand, arm or other disabilities make it difficult to use crutches or a walking frame. Ask the team to assess suitable alternatives and plan support with you.

Driving, work and activities

Ask your surgical team when it is safe to drive, work, lift or return to sport. Your operation, medicines, mobility and type of work affect the advice. Check your motor insurer's requirements before returning to driving.

Risks and complications

Possible problems include infection, blood clots, stiffness, nerve injury and problems with the implant. Risks differ by operation. Your surgeon should explain the risks relevant to you.

Revision surgery

An existing replacement may sometimes need further surgery because of wear, loosening, infection or other problems. Revision surgery may replace some or all components and can involve a different recovery plan.

This NHS hospital leaflet is specifically about revision hip replacement, not every joint.

Questions to ask your team

  • Why is this operation being recommended for me?
  • What alternatives are suitable?
  • What benefits and risks should I expect?
  • What restrictions and rehabilitation will I need?
  • What help and equipment will I need at home?
  • Who should I contact if I am worried after discharge?

Sources checked: 10 October 2026. NHS and named NHS hospital guidance is linked in each relevant section. Advice and services may change; confirm your individual instructions with your surgical team.