@cr8tvt, hello and best wishes as you sort things out prior to surgery! (Please excuse this long-winded response, but I have a lot of time on my hands at the moment!)
For me personally, I spent many months in a sort of medical sleuthing environment trying to pinpoint where my various aches and pains were actually coming from. After working with a physiatrist, neurologist, and physical therapist, it was determined that my radiating pains (traveling to areas mainly in my back, hip, and leg areas) were the result of relatively severe osteoarthritis in each hip.
I am actually in the western part of New York State and had two surgeons I considered using, one who does the anterior approach and one who does the mini-posterior approach. I called the anterior-approach fellow’s office and was told it would be 9 months to surgery! With the severe pain and disability I was experiencing it was not even comprehensible to envision a 9-month wait.
The mini-posterior fellow was very highly recommended to me by my physical therapist, who said to me that, in all his years of working with this doctor’s patients, he had never seen a bad hip surgery from this fellow. My wife and I went to talk with this surgeon, and we fell in love with the guy — very down-to-earth and genuinely a nice person. He had also done many bilateral operations and was WILLING to do bilateral surgery with me. The wait would also be half of what it would be for the other surgeon!
I must say that I did a great deal of research into the posterior vs. anterior approach and came to the conclusion that there was very little actual difference between “mini-posterior” (smaller incisions and less muscle cutting) and anterior approaches, at least for me personally. And, with the mini-posterior approach, my recovery has been nothing short of remarkable. I was progressing so well that the folks in the hospital could hardly believe it. A physical therapist, after deciding I could do it, had me walk up and down a twenty-step staircase (one foot per step) from one floor to another in the hospital just two days after surgery. You can see from my little video clip how well I was doing with walking just three days after surgery. And the pain has been so minimal that my major pain issues involve some ankle arthritis that bothers me when I walk a long distance outside.
I am going to see my surgeon tomorrow to get the staples removed and am going to get some specifics on what prosthetic devices were actually used. The surgeon’s PA told me before surgery that they don’t really know for sure what they will use before they open up the surgical site and view the bone structure, etc.
Here is the best advice I can give you. Find a surgeon who comes highly recommended by anyone you trust who works in the medical field. Not only did I have a recommendation from my PT person, but the surgeon was also highly recommended by my primary care physician and the charge nurse from the hospital floor I would be staying on after surgery. Once you have a name or two or three, I would choose the surgeon that you feel most comfortable with. And then I would suggest trusting this surgeon to handle things in the most appropriate way. I deferred to my surgeon on things because I felt unqualified (and uninterested really) to be second-guessing him.
To me the surgeon is the key. Concentrate on finding this person and then just try to relax. Please keep me posted on how things are going! Good luck!