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With the increasing publicity and interest in novel approaches for Total Hip Arthroplasty, many surgeons are feeling pressure to make changes to their practice. The pathway to change includes many obstacles for surgeons working in a non-academic environment including but not limited to: taking time from a busy practice, finding good mentors, altering hospital protocols, and overcoming the learning curve. But what does the evidence tell us? Are the outcomes really that much different to support the appetite for change? Supporting Evidence: Please see below a list of OrthoEvidence reports pertaining to the topics discussed. No difference in hip function or functional performance between DA and DL THA approaches after 2yrs. ACE Report. 2019;8(3):17. Available from: https://myorthoevidence.com/AceReport... Similar Radiographic Outcomes in Total Hip Arthroplasty through Direct Anterior vs Lateral Approach. ACE Report. 2019;8(9):11. Available from: https://myorthoevidence.com/AceReport... Lower pain with direct anterior versus lateral approach THA at the hands of low volume surgeon. ACE Report. 2018;7(2):9. Available from: https://myorthoevidence.com/AceReport... Earlier functional recovery observed with direct anterior versus posterolateral approach THA. ACE Report. 2018;7(5):17. Available from: https://myorthoevidence.com/AceReport... Surgical Approaches for Total Hip Arthroplasty: A Network Meta-Analysis. OE Original. 2020;3(11):3. Available from: https://myorthoevidence.com/Blog/Show... Favourable Short-Term Clinical Outcomes with SuperPath vs. Posterior Approach in Hemi-Arthroplasty. ACE Report. 2019;8(9):13. Available from: https://myorthoevidence.com/AceReport... SuperPath Approach for THA Improves Acute Pain & Function With Reduced Blood Loss & Hospital Stay. ACE Report. 2021;18(1):1. Available from: https://myorthoevidence.com/AceReport... Piriformis sparing THR doesn't provide long-term improvement over the standard approach . ACE Report. 2013;2(7):377. Available from: https://myorthoevidence.com/AceReport... Piriformis sparing THA spares piriformis muscle grade and bulk degeneration. ACE Report. 2013;2(7):415. Available from: https://myorthoevidence.com/AceReport...