★★★★★ 4.8 Google Reviews
Estancia residents chose this community because it offers something that cannot be found anywhere else in Arizona — the Tom Fazio-designed Estancia Club course, set against the dramatic backdrop of Pinnacle Peak and the McDowell Mountains and ranked the finest golf experience in the state. Beyond the course, Estancia sits at the foot of Pinnacle Peak Trail and Tom’s Thumb, two of Scottsdale’s most celebrated desert hikes. The community’s private paths wind through protected desert terrain, and the dining and social scene at Kierland Commons and DC Ranch Marketplace is minutes away. Hip pain dismantles access to all of it. The round on the Fazio course gets cut short. The Pinnacle Peak Trail becomes too steep. Getting in and out of the golf cart becomes painful. The morning walk on the community paths becomes a reminder of what’s been lost. For Estancia residents who expect the finest, accepting a hip that no longer works is simply not an option. Dr. Brandon Gough is a board-certified orthopaedic surgeon practicing minutes from Estancia’s gates. His patients walk the same day as surgery, go home within 24 hours, and return to the course and the trails on a timeline that regularly surprises them.
| 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 |
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 Estancia patients, this matters in concrete terms. No long list of movements to avoid. No months of restricted recovery. A return to the Estancia Club course, the Pinnacle Peak trails, and life at this community’s standard — 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.
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 Estancia community paths. By months two and three, most patients have returned to full activity — including the Estancia Club course, Pinnacle Peak Trail, and Estancia 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 was back on the Estancia Club course about ten weeks after surgery. Walking all 18, no pain, full range of motion. Dr. Gough told me exactly what to expect and the reality matched every promise he made.
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.
Dr. Gough’s private practice is at 8575 E. Princess Dr., Suite 210, Scottsdale, AZ 85255 — approximately 10 to 15 minutes from Estancia’s gates via Pima Road. He also operates at Aloe Surgical Center and Abrazo Scottsdale Campus, both in the Scottsdale area.
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.
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.
Most major insurance plans — including PPO plans common among Estancia residents — 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.
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.