Hi, how are you? I would like to talk a little bit about total hip arthroplasty. It is one of the most performed surgeries in the world, about a million a year, and it is one of the surgeries that revolutionized orthopedics and how we treat hip wear. It basically cures. [2. 1s] hip wear in its last stages after we have given them all the conservative treatment with injections with therapy and when there is no other option but to operate during the surgery what we do is to remove cartilage and bone from the hip and from the two components of the femur and the acetabulum and replace it normally with metallic components which are going to fulfill or replace the function of the same ones the primary recommendation for this type of surgery is pain and disability, a person can live with a disability if she or he wants it that way, but with the pain it already becomes a little less tolerable and it is when this type of surgeries is suggested more the age also is a factor to consider when yes it is certain that in many patients it is recommended to them when it is as late as possible a third age also young patients with much pain and much incapacity secondary to a wear by any cause can be done.