The direct anterior hip replacement is the only truly minimally invasive hip replacement done.  The hip is replaced through a small incision on the front of the thigh.  In most cases the incision is about 3 inches long, and can be placed along the bikini line leaving a very cosmetic scar once healed.  The space in between two muscles on the front of the hip is used to gain access to the hip joint.  No muscles are cut from the bone. No muscles are split.  The recovery is generally much faster than a traditional hip replacement.  Patients are often able to walk without crutches or a walker and very little to no pain within one week of surgery.