For patients with end-stage arthritis who are also highly active, hip resurfacing may be the preferred alternative to a total hip replacement. Scott Mabry, MD, an orthopaedic surgeon, discusses the aspects of hip resurfacing that preserve a patient’s ability to continue performing at their highest level. He notes the importance of consulting a surgeon who is actually certified to perform hip resurfacing when determining if it is appropriate for a given patient: those who are motivated and passionate athletes will benefit most.