The advantages of minimally invasive surgical approaches for total hip arthroplasty are reported to include reduced blood loss, less pain, and shorter hospital stays, which combine to afford a faster recovery1-4. However, other studies have failed to show any significant advantage over the use of standard surgical approaches (Fig. 1)5-8. Reported disadvantages of minimally invasive techniques are the substantial learning curve required and an increased risk of early complications3,9-12. In addition, the long-term outcomes of minimally invasive procedures in terms of implant fixation and longevity remain unproven.