★★★★★ 4.8 Google Reviews
Rio Verde residents chose this community because it keeps them active — two 18-hole championship courses at Rio Verde Country Club, the natural beauty of the McDowell Mountain Regional Park, pickleball and tennis courts, community paths, and a social culture built around shared activity. This is not a community where people come to slow down. It is a community where people come to keep going. Hip pain threatens all of it. The round at Rio Verde Country Club gets cut short. The McDowell Mountain trail becomes too much. Getting off the golf cart or up from the pickleball court becomes something you dread. The morning walk on the community paths turns into a painful calculation. For Rio Verde residents, a hip that no longer works is not an acceptable situation — because staying active is the whole point of being here. Dr. Brandon Gough is a board-certified orthopaedic surgeon practicing in North Scottsdale. His patients walk the same day as surgery, go home within 24 hours, and return to the courses, the trails, and the community courts 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 Rio Verde patients, this matters in practical terms. No long list of movements to avoid. No months of restricted recovery. A return to Rio Verde Country Club, the McDowell Mountain trails, the community courts, and daily Rio Verde 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.
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 community paths and resuming light activity. By months two and three, most patients have returned to full activity — including Rio Verde Country Club, the McDowell Mountain Regional Park trails, and community recreation 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 course at Rio Verde Country Club about nine weeks after surgery. No pain, walking all 18, full swing. I had been putting off the surgery for two years and I wish I had done it sooner.
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 25 to 30 minutes from Rio Verde via Scottsdale Road and Rio Verde Drive. 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 Medicare and PPO plans common among Rio Verde’s active adult 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 plans including Medicare, 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.