Hi Butterfly and all of you with fears about your surgery, which is a totally normal reaction, and the associated worries that come along with preparing for that: I am 4 days postop from a direct anterior approach (DAA) THR and am AMAZED about how much pain relief I have received and how relatively easy the surgical experience was (and I don't want to minimize this since everyone goes through the process differently). However, I have an advantage in that I am also a healthcare provider with a specialty in anesthesia and although one would think that I would be fully prepared for my surgery, I too had fears about undergoing my replacement, even though I explain the anesthesia and deliver it on a daily basis several times a day as well as view the surgical procedures with the same frequency. Remember, although you can watch and explain it a thousand times, unless you personally experience something, it is still unknown to you on that level. Being a patient is the same for a healthcare provider and a lay person. It's just plain scary!
Having surgery is a frightening experience no matter who we are or what we have seen. Even though I was exposed to all of the details and information months prior to my surgery, I still joined this forum to get support from folks who had perspectives to contribute that would be difficult to ascertain from the medical/surgical community, who often do not have firsthand knowledge of what the actual step by step, beginning to end perceptions are of what all of it "felt like" to undergo a total hip replacement.
I did a lot of research prior to my procedure and was committed to having a DAA. I didn't join Bonesmart right away, but did read a lot from their forum articles on hip replacement (Bonesmart is a fabulous resource with a one stop shopping ability to provide information) as well as other websites. The hospitals I work out of do not have a lot of OS that perform the DAA so I found the names of 2 surgeons that perform it and I had consultations with both. I made sure to ask "how many" DAA's they had performed along with the usual important questions that are listed on the websites questions to ask before settling on a surgeon. The surgeon I chose had done the most DAAs in my region and was skilled in the technique. If you are a candidate for this approach, and would like to have it, make sure you have a consultation with someone who does LOTS of them because if the OS you visit does not do a substantial amount of DAA, they will spend time trying to talk you into having the procedure they do the most of because they want to do your surgery. Let's face it, they need to work and get the most patients they can. Most people forget that surgery is a business too, which is why you should shop around.
More importantly, arm yourself with as much information as you can -- read, read, read; ask your surgeons questions and make sure you have them written down in advance because when you are in the office it can be easy to forget what you want to ask when you are in the throes stress and anxiety. Make sure you feel that your questions have been answered to your satisfaction and don't let anyone "blow you off". The more information you have, the better prepared you will feel.
Lastly, if you are unable to walk without a cane and/or a walker, and not getting relief from pain medication, it is time to move forward with surgery. I am a very active person and had to drop off my activities one by one and couldn't do anything without thinking of how much pain it was going to cause me, which was everything I did. It totally consumed me and everything I did. In retrospect, I waited much longer than I should have to have my surgery. My life is already so much better. Not to say that I am not experiencing post op pain, but it is so much more preferable to the preop bone on bone pain, which was excruciating even with medication! My current pain is surgical pain, bruising and swelling, which is much more tolerable believe it or not, and I am able to put full weight on my leg, walking with a cane which I am using just for safety. I am able to walk up and down the steps and if I wasn't taking percocet (be sure to take your medication, I can't stress that enough), I could easily walk without my cane. With a DAA, by the way, I have no restrictions on movement, so I am just using the cane for safety and stability. All of this is such a relief!!
Do not delay your surgery -- it's amazing how much better you will feel. Sure, you will have some pre procedure jitters, that is normal, but your life will be so incredibly improved after it is done!!