Hip Replacement in the Biltmore, AZ
★★★★★ 4.8 Google Reviews
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- 8,000+ Procedures
- Robotic-Assisted Precision
- Board-Certified Orthopaedic Surgeon
- Same-Day Outpatient Options
- Scottsdale, Arizona
The Biltmore Was Built for an Active Life
The Biltmore area draws residents who expect to stay active. The Arizona Biltmore Golf Club’s Adobe and Links courses are among Phoenix’s most celebrated — and most walked. The Arizona Canal path connects the neighborhood east toward Scottsdale and west toward downtown. Piestewa Peak is a short drive away for those who want more elevation. And Biltmore Fashion Park puts walkable dining and shopping at the neighborhood’s center. Hip pain changes all of that. The 18th hole becomes a question mark. The canal walk gets cut short. The hike up Piestewa becomes a memory. Getting in and out of the car after dinner at Biltmore Fashion Park becomes something you dread. It’s not just physical — it’s the slow loss of access to everything the Biltmore offers. Dr. Brandon Gough is a board-certified orthopaedic surgeon in Scottsdale who specializes in hip replacement for active adults. His patients walk the same day as surgery. They go home within 24 hours. They come back to the fairways, the canal path, and Biltmore life — on a timeline that surprises them.
Signs It May Be Time to Consider Hip Replacement
- Hip pain that wakes you up at night or disrupts sleep — increasingly common as arthritis advances
- Stiffness or pain getting in and out of the car, standing from a chair, or walking across the Biltmore lobby
- Pain walking the Arizona Canal path or climbing the grades on Piestewa Peak
- Hip or groin pain that limits how many holes you can play at the Biltmore Golf Club before needing to stop
- Non-surgical treatments — injections, physical therapy, anti-inflammatories — that are no longer providing meaningful relief
How Dr. Gough's Approach Compares to Traditional Hip Replacement
| Traditional | Dr. Gough | |
|---|---|---|
| Incision | 10–12 inches | 4–6 inches |
| Muscle handling | Cut or detached | Fully preserved |
| Walking | Days after surgery | Same day |
| Recovery | 6–12 weeks | Weeks, not months |
| Restrictions | Long post-op list | None |
| Hospital stay | 2–4 days | Same day / 24 hrs |
The Direct Superior Approach — Why Biltmore Patients Choose It
Dr. Gough uses the Direct Superior approach to total hip replacement — a technique that does not cut or detach the major muscles around the hip. The joint is accessed through a 4-inch incision without twisting or overextending the leg. Because the muscles are preserved, recovery begins immediately: most patients stand and walk within hours of surgery, go home the same day, and face no post-surgery hip restrictions. For Biltmore patients, this matters in practical terms. No long list of movements to avoid. No weeks of restricted recovery. A return to the Adobe Course, the canal path, and daily Biltmore life — measured in weeks, not months. For patients who have already had a hip replacement that is causing pain or instability, Dr. Gough also performs complex revision total hip replacement. Revision cases are more complex than primary replacements, which is exactly why experience and specialized training matter more — not less.
What Recovery Looks Like for Biltmore Patients
Most of Dr. Gough’s total hip replacement patients walk with assistance the same day as surgery and go home within 24 hours. In the first week, walking begins with a cane or walker and physical therapy starts. By weeks two and three, most patients are off assistive devices and returning to driving. By weeks three to four, many are walking the flat sections of the Arizona Canal path. By months two and three, most patients have returned to full activity — including the Biltmore Golf Club fairways, Piestewa Peak, and Biltmore life at full pace. Revision hip replacement recovery follows a longer timeline — typically one to two days in the facility, followed by a structured rehabilitation program over three months and continued improvement through the first year.
I played my first round on the Adobe Course about ten weeks after surgery. My hip felt better than it had in years. Dr. Gough told me what to expect every step of the way and delivered exactly that.
Meet Dr. Brandon Gough, M.D.
Dr. Brandon Gough is a board-certified orthopaedic surgeon and a leader in minimally invasive and robotic-assisted hip and knee replacement.
Dr. Brandon Gough is a board-certified orthopaedic surgeon based in Scottsdale, Arizona. He specializes in hip and knee reconstruction and has performed over 8,000 procedures since 2013.
He is one of a select group of surgeons in the country trained in the Direct Superior approach to hip replacement — a technique that eliminates post-surgery restrictions and dramatically reduces recovery time. He is also a past consultant and educator for Stryker Orthopaedics, training surgeons from around the world in minimally invasive joint replacement techniques.
Beyond the operating room, Dr. Gough volunteers with Magis Clinic, Madonna School, Habitat for Humanity, and Sienna St. Francis Clinic. He believes that exceptional surgical care and genuine compassion go hand in hand.
- American Board of Orthopaedic Surgeons (ABOS)
- American Medical Association (AMA)
- American Academy of Orthopaedic Surgeons (AAOS)
- American College of Physicians (ACP)
Hip Replacement Questions from Biltmore Patients
How far is Dr. Gough's practice from the Biltmore area?
Dr. Gough’s private practice is at 8575 E. Princess Dr., Suite 210, Scottsdale, AZ 85255 — approximately 20 minutes from the Biltmore area via the 51. He also operates at Aloe Surgical Center and Abrazo Scottsdale Campus, both in the Scottsdale area.
Will I be able to play golf at the Biltmore Golf Club again after hip replacement?
Most patients return to golf within two to three months of total hip replacement using Dr. Gough’s Direct Superior technique. Because the surrounding muscles are preserved — not cut and rebuilt — the strength and stability needed for your swing are intact from day one. Dr. Gough will give you a specific activity plan at your consultation based on your goals and recovery progress.
Is same-day discharge safe for hip replacement?
Yes — for appropriate candidates, same-day discharge is as safe as an overnight hospital stay and produces equivalent outcomes. Dr. Gough’s technique causes significantly less soft tissue trauma than traditional approaches, which means patients are stable, mobile, and ready to go home within hours of surgery. Every patient is monitored closely before discharge is confirmed.
Does insurance cover hip replacement surgery?
Most major insurance plans — including PPO plans common among Biltmore-area professionals — cover hip replacement when it is medically necessary. Dr. Gough’s team will verify your insurance benefits before your consultation so there are no surprises. Gough Surgical accepts most major PPO plans including United Healthcare, Cigna, Aetna, Ambetter, and Blue Cross/Blue Shield.
Ready to Get Back to Your Life in Biltmore?
Call 602-359-3088 or complete the form to schedule your consultation with Dr. Gough. His team will review your imaging, assess your hip, and give you a direct, honest recommendation on whether hip replacement is right for you — and what your recovery would realistically look like.
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Content on this website is for general informational purposes only and should not be considered medical advice. Each patient’s condition, treatment plan, and results are unique. Patient testimonials reflect individual experiences and are not a guarantee of similar outcomes.