★★★★★ 4.8 Google Reviews
Ready to Find Out What Your Hip Replacement Recovery Would Look Like?
8,000+ Procedures
Board-Certified Orthopaedic Surgeon
MAKOplasty® Robotic-Assisted
Same-Day Outpatient Options
Scottsdale, AZ
Most patients are surprised — in the best possible way — by how fast recovery actually is. The technique your surgeon uses is the reason why.
If you’ve been researching hip replacement recovery in Scottsdale, you’ve probably read about six-week restrictions, movements to avoid, and a long list of things you can’t do for months after surgery. That is the reality of traditional hip replacement — but it is not the reality of surgery with Dr. Brandon Gough. Dr. Gough performs hip replacement using the Direct Superior technique, a muscle-sparing approach that works around the hip’s major muscles rather than cutting through them. Because nothing is cut, recovery begins the same day. Most patients walk within hours of surgery, go home that afternoon, and receive no post-surgery restriction list at all. Dr. Gough has performed more than 8,000 hip and knee replacements since 2013 using this approach. The recovery results his patients experience are not the exception — they are the consistent outcome of a technique designed specifically to produce them.
Week by week, here is what most of Dr. Gough's hip replacement patients experience — and why it looks nothing like traditional surgery recovery.
Most of Dr. Gough's hip replacement patients are on their feet within hours of surgery. Physical therapy begins the same day. You walk to the car. You go home that afternoon. There is no mandatory hospital stay and no overnight monitoring for most patients. This is possible because the Direct Superior technique preserves the muscles that stabilize your hip — so they are working from the moment surgery ends.
With traditional hip replacement patients receive a list of movements to avoid for weeks or months — no crossing legs, no bending past 90 degrees, no low chairs. With Dr. Gough's Direct Superior approach there is no restriction list. You move naturally from day one. Most patients transition off a walker within the first week and begin driving within two weeks of surgery.
Most of Dr. Gough's hip replacement patients are back to walking freely, doing light errands, and resuming daily life by weeks three to four. Golf, hiking, and recreational activity typically resume in this window. This milestone takes six to twelve weeks with traditional surgery. The muscle-sparing technique is the entire reason the timeline is this different.
By six to eight weeks most patients have full range of motion, full strength, and are back to everything they were doing before hip pain stopped them. Some patients resume more demanding physical activity earlier. Physical therapy continues in this window and is the single most important thing you can do to accelerate your recovery alongside Dr. Gough's surgical technique.
Everything was amazing from beginning to full recovery after just 8 physical therapy sessions. The method Dr. Gough uses allowed me to walk unaided in just a day or two without restrictions. He has my complete trust.
These are the questions patients ask most before their consultation. Here are honest, specific answers based on what Dr. Gough's patients actually experience.
Yes — for the vast majority of Dr. Gough’s hip replacement patients. Traditional hip replacement cuts through the major muscles surrounding the hip, which means your body has to recover from muscle damage before it can function. Dr. Gough’s Direct Superior technique preserves all of those muscles completely. Because nothing is cut, patients can typically stand and walk with the assistance of a walker within hours of surgery. Walking the same day is not the exception — it is the expected outcome with this approach.
No — and this is one of the most significant advantages of the Direct Superior approach. With traditional hip replacement, patients receive a long list of movements to avoid — no crossing legs, no bending past 90 degrees, no low seats, sometimes for months. With Dr. Gough’s Direct Superior technique, none of those restrictions apply. You leave surgery with no precaution list. The reason is anatomical — the Direct Superior approach does not disturb the posterior capsule of the hip, which is the structure that makes traditional techniques prone to dislocation. The capsule stays intact so the restrictions are not necessary.
Most patients follow this general timeline. Day of surgery — walking with assistance, home that afternoon. Week one to two — transitioning off walker, beginning driving, no restrictions on movement. Week three to four — back to light recreational activity including golf and hiking. Week six to eight — full strength, full activity for most patients. This timeline is significantly faster than traditional hip replacement recovery, which typically takes six to twelve weeks before returning to light activity. The muscle-sparing technique is the primary reason the difference is this dramatic.
Most of Dr. Gough’s primary hip replacement patients go home the same day as surgery. There is no mandatory overnight stay for most patients. Same-day discharge is possible because the muscle-sparing technique results in significantly less trauma to surrounding tissue — meaning patients are stable, mobile, and ready to go home within hours. Whether an overnight stay is needed depends on your overall health and how you respond after surgery. Dr. Gough’s team will set clear expectations at your consultation.
Most of Dr. Gough’s hip replacement patients manage post-surgical discomfort with Tylenol or Celebrex — not narcotic pain medication. The muscle-sparing technique results in significantly less soft tissue trauma than traditional surgery, which directly translates to less post-operative pain. Mild swelling and soreness are normal in the first one to two weeks and are typically managed with ice, over-the-counter medication, and light movement. Most patients are surprised by how manageable the discomfort is compared to what they expected.
Most of Dr. Gough’s hip replacement patients return to driving within one to two weeks of surgery, once they are off prescription pain medication and feel comfortable with the movement required. If surgery was on your right hip the timeline may be slightly longer as right-leg driving requires more hip control. Dr. Gough will provide specific clearance at your first follow-up appointment. Because there are no movement restrictions with the Direct Superior approach, getting in and out of a vehicle is comfortable from day one.
The primary difference is the Direct Superior technique and what it eliminates. Most hip replacement surgeons in Scottsdale — including those using the anterior approach — still have some post-surgery movement precautions or restrictions. Dr. Gough’s Direct Superior approach eliminates the restriction list entirely because it does not disturb the posterior capsule of the hip. Combined with 8,000+ procedures performed since 2013, same-day outpatient surgery at Aloe Surgical Center and Abrazo Scottsdale, and physical therapy beginning the same day as surgery, the recovery experience Dr. Gough’s patients describe is consistently faster and less limiting than what patients report with other approaches.
Board-Certified Orthopaedic Surgeon · Scottsdale, Arizona
Dr. Brandon Gough is a board-certified orthopaedic surgeon in Scottsdale, Arizona specializing in hip and knee replacement. He has performed more than 8,000 joint replacements since 2013 and is a Stryker-certified MAKOplasty® surgeon.
8,000+
Hip & Knee Procedures
Same Day
Home After Surgery
25-30yr
Year Implant Life
★★★★★ 4.8 Google Reviews
Ready to Schedule Your Consultation?
Complete the form and Dr. Gough’s team will be in touch. We look forward to getting you back on track.
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.