Hip Replacement Surgery in Scottsdale, Arizona
Hip pain doesn't have to be your new normal. Dr. Gough offers robotic-assisted, muscle-sparing hip replacement — with faster recovery, less pain, and no long list of restrictions afterward.
If any of these sound familiar, you are not alone — and there may be a better solution than living with the pain:
Pain
Pain that gets worse with walking, climbing stairs, or standing
Activity Limitations
Feeling like you’re missing out on activities you used to enjoy
Stiffness
Stiffness that makes it hard to get in and out of the car
Non-surgical Treatments
Injections or physical therapy — that are no longer helping
These are signs that the cartilage (the cushioning tissue between your hip bones) has broken down. When cartilage wears away, bones rub together, causing pain, stiffness, and inflammation. Hip replacement surgery replaces the damaged joint with a new one designed to move like your natural hip — without the pain.
- 8,000+ Procedures
- Board-Certified Surgeon
- Robotic-Assisted
- Same-Day Outpatient
- Scottsdale, Arizona
Understanding Your Hip Joint
The hip is a ball-and-socket joint. The rounded top of your thigh bone (femur) fits into a cup-shaped socket in your pelvis (acetabulum). A layer of smooth cartilage covers both surfaces, allowing the joint to move easily and absorb impact.
As the body ages — or after injury — that cartilage gradually wears down. Once it is gone, it cannot grow back. The result is bone rubbing on bone: painful, stiff, and progressively worse over time.
Modern hip replacement surgery removes the damaged surfaces and replaces them with high-performance implants that restore smooth, pain-free movement.
Traditional Surgery vs. Dr Gough's Approach
Our patients share real stories of care, recovery, and trust — each one reflecting our dedication to compassionate service and exceptional medical excellence.
Traditional Approach
- 10–12 inch incision
- Muscles cut or detached
- 6–12 week recovery
- Long list of post-surgery restrictions
- Higher risk of dislocation
Dr Gough's Approach
- 4–6 inch incision
- Muscle-sparing technique
- Walk same day, home same day
- No post-surgery hip precautions
- Lower dislocation risk
Hip Procedures Offered
Robotic-Assisted Direct Superior, Total Hip Replacement
The damaged ball-and-socket joint is replaced with a custom-fitted prosthesis. Dr. Gough uses the MAKOplasty® robotic-assisted Direct Superior approach — a muscle-sparing technique that eliminates post-surgery restrictions and allows most patients to walk the same day.
Robotic-Assisted Revision, Total Hip Replacement
If a previous hip replacement is causing pain, instability, or reduced motion, a revision procedure may be needed. Dr. Gough specializes in complex revision cases and has performed thousands of revision surgeries in his career.
Which Procedure Is Right For You?
Not sure which applies to you? That is exactly what a consultation is for. Dr. Gough will review your imaging, examine your hip, and walk you through every option.
Gough Surgical FAQs
We know you might have questions about hip replacement — here are the ones we get asked the most, answered simply.
Hip Replacement FAQs
The right procedure depends on your age, activity level, diagnosis, and anatomy. Dr. Gough offers MAKOplasty® Total Hip Replacement using the Direct Superior approach --- his minimally invasive, muscle-sparing technique --- and Revision Hip Replacement for patients whose prior surgery isn\'t working. During your consultation, Dr. Gough will review your imaging and walk you through every option in plain language. He will never recommend surgery unless it is the right choice for you.
Total hip replacement is one of the most studied and successful procedures in all of orthopaedic medicine. In the hands of an experienced, specialized surgeon, outcomes are excellent. Dr. Gough has performed more than 8,000 hip and knee replacements since 2013 and will walk you through the specific risks, benefits, and realistic expectations for your individual case before any decision is made.
Recovery timelines vary by procedure. With Dr. Gough\'s MAKOplasty® robotic-assisted Direct Superior technique for total hip replacement, most patients walk the same day as surgery and return to light activity within a few weeks. More complex procedures, such as revision hip replacement, take longer. Dr. Gough will give you a realistic, personalized timeline during your consultation - including specific milestones for your procedure.
Body weight is a factor in candidacy and recovery, but it does not automatically disqualify anyone from surgery. Dr. Gough evaluates each patient individually. He will discuss how your weight may affect surgical risk, recovery, and implant longevity—and help you understand all available options.
Great questions to bring to your first consultation include: "Am I a candidate for the less-invasive Direct Superior approach with MAKOplasty®?" What are the risks specific to my age and health history? How long will my implant last given my activity level? What does recovery look like for someone with my lifestyle? What happens if I need revision surgery in the future? Dr. Gough welcomes every question and takes time with every patient.