10 Questions to Ask Your Hip Conservancy Surgeon

1. How was your experience with hip preservation surgery?

Not all orthopedic surgeons are trained in hip joint preservation techniques, many of whom focus almost exclusively on hip replacement procedures. In fact, most orthopedic surgeons perform replacement surgery rather than preserving surgery such as hip arthroscopy. Advanced training in different skills for minimally invasive techniques is required for hip preservation surgery.

My training at the Hospital for Special Surgery and Rush University focused on hip arthroscopy, sports medicine, and joint preservation procedures. I have performed hundreds of hip preservation procedures and actively publish research to help advance the field.

2. Do you perform postless hip arthroscopy? Why is this important?

Yes – I do the postless technique regularly. Traditional hip arthroscopy uses a padded pole placed between the legs to separate the hip joint for surgery, potentially compressing the groin and even harming nerves. In post-operative surgery, we use advanced traction and patient positioning to avoid this. This is safer and more comfortable for the patient, but not all surgeons offer it because it requires special equipment and experience.

3. Do I need a second opinion before surgery?

Very. I recommend a second opinion, especially for patients who have been told they have no choice but to have a hip replacement. I have seen many patients who are amazed to learn that they are still eligible for a hip preservation procedure to delay hip replacement after years of pain.

4. How do you determine if I am a candidate for hip preservation vs. hip preservation? hip replacement?

Age is not the only factor. I take into account each patient’s features, activity level, cartilage condition, and future aspirations. Most active patients in their 40s or even 50s are good candidates for arthroscopic joint-sparing procedures.

5.What specifically do you do for a labral tear or FAI?

My goal is always to restore and preserve function. I usually repair the labrum, rather than remove it, and remodel the bone in a cam or clamp impingement condition. These procedures relieve chronic pain while keeping joints healthy and stable.

6. What will my recovery look like?

Recovery varies, but I create a personal plan for each patient. Most started physical therapy right away, and I remained involved throughout the rehabilitation period. My team and I work closely with therapists to get you moving safely and confidently.

7. What non-surgical options do you recommend before considering surgery?

Surgery is not the first choice. We usually try physical therapy, guided injections, and activity modifications before going to the operating room. I only recommend surgery when we’ve tried other things and it’s clear it would be of great benefit.

8. Would you do the surgery yourself?

Yes. I personally do all my operations myself. Although I may perform surgery with a resident or fellow at an academic center, I am always the primary surgeon and participate in all aspects of your care.

9. What rate of complications have you experienced, and how do you handle unexpected problems?

I believe in transparency. Although complications are rare, we monitor each outcome and follow evidence-based protocols to reduce risk. When the unexpected happens, we handle it effectively and compassionately, communicating with our patients every step of the way.

10. Are you involved in orthopedic research or innovation?

Yes. I am a faculty member at Weill Cornell Medicine and regularly publish research on hip preservation, surgical techniques, and outcomes. Staying involved in research helps me provide current and effective treatments to patients.

Ready to Schedule a Consultation or Second Opinion?

Whether you are exploring your options or looking for a definitive treatment plan, I am here to help. If you’re not sure whether surgery is right for you, or want to be sure of your choice, a second opinion is a great next step!