Hip Replacement Recovery Week by Week: What to Expect After Surgery

Undergoing hip replacement surgery is a major decision, one that can truly transform your quality of life. Knowing what recovery looks like helps you prepare physically and mentally for each stage of healing.

Dr. Gerardo Mangino, an internationally trained orthopedic surgeon based in Cabo San Lucas, Mexico, guides patients from around the world through this journey every year. His goal is to ensure every patient feels confident, supported, and well-informed before, during, and after surgery.

You might also want to read “Signs You Need Hip Replacement: How to Know When It’s Time”.

The First Week: Regaining Independence

The first few days after surgery focus on recovery and gentle movement. At Hospital H+, patients are encouraged to begin walking with support, often within 24 to 48 hours. Early movement prevents stiffness, promotes circulation, and boosts confidence.

Most patients remain under close medical supervision for two to three days, where pain is managed with ultrasound-guided nerve blocks and medication. Physical therapy usually begins right away, focusing on standing, short walks, and basic exercises to strengthen the hip and improve flexibility.

By the end of the first week, many patients can sit comfortably, walk short distances with a walker, and perform basic daily tasks with assistance.

Week 2–3: Building Strength and Stability

As swelling and discomfort begin to subside, therapy becomes more active. Dr. Mangino’s patients often transition to guided physical therapy sessions that emphasize controlled movement and strengthening surrounding muscles.

You may notice improvements in balance and walking ability. Most individuals can move around the house with minimal help and gradually reduce their reliance on walking aids.

Following your exercise plan precisely, including gentle stretches and mobility work, lays the foundation for long-term success. Patients who stay consistent during this phase often progress faster in later weeks.

Week 4–6: Returning to Everyday Activities

By this point, the hip joint feels significantly more stable, and discomfort continues to decrease. Most patients can resume light daily activities such as cooking, shopping, and short outdoor walks.

Strength training, balance exercises, and low-impact aerobic activity become a regular part of therapy. Dr. Mangino carefully tailors each recovery plan to the patient’s condition and age, ensuring a safe but steady return to independence.

While energy levels may still fluctuate, confidence grows with every week. Many patients describe this stage as the turning point, the moment they truly feel life returning to normal.

Week 7–10: Regaining Confidence and Endurance

Around two months after surgery, patients begin to feel more like themselves. Walking becomes easier, and most no longer need canes or crutches.

Dr. Mangino’s patients often begin light recreational activities such as swimming or stationary cycling, depending on their individual progress. The emphasis now shifts to endurance and maintaining good posture and alignment while moving.

This is also when many people start to notice the full benefit of surgery, reduced pain, improved range of motion, and restored quality of life.

Week 11–12 and Beyond: Returning to a Full, Active Life

By three months, most patients can resume many of their usual activities, including work, travel, and moderate exercise. The artificial joint continues to strengthen and adapt as you move more freely.

Dr. Mangino encourages ongoing physical activity to maintain muscle tone and joint flexibility. Regular follow-up appointments ensure the implant is functioning properly and recovery remains on track.

While every recovery is different, most patients reach a high level of comfort and independence within this timeframe and continue to improve for up to a year after surgery.

Tips for a Smooth Recovery

To make recovery as efficient as possible, Dr. Mangino recommends a few core habits:

• Follow your physical therapy program consistently and avoid skipping exercises.
  
  
• Keep the surgical site clean and dry as instructed.
  
  
• Maintain a balanced diet rich in protein and hydration.
  
  
• Use assistive devices safely until your surgeon clears you to stop.
  
  

Simple daily discipline makes a significant difference in long-term outcomes. Patients who actively participate in their recovery tend to regain function faster and sustain results longer.

You might also be interested in reading our blog, Pre-Surgery Exercises for Hip and Knee: Building Strength Before Recovery Begins.

Begin Your Recovery With Expert Care in Cabo San Lucas

Recovery after hip replacement doesn’t have to be stressful or uncertain. With expert guidance, clear milestones, and compassionate care, healing can feel empowering rather than overwhelming.

Dr. Gerardo Mangino and his bilingual team at Hospital H+ provide personalized rehabilitation and advanced surgical care for patients traveling from the U.S., Canada, and beyond. From initial consultation to complete recovery, they ensure every step of the journey is comfortable and transparent.

Whether you’re exploring treatment options or seeking a second opinion, Dr. Mangino can help you make an informed decision about your orthopedic care.

Book your virtual consultation today and take the first step toward comfort and confidence.