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From secret surgeries to national adoption—this is the story of the direct anterior approach in Brazil. In this AHF 2025 presentation, Dr. Alexandre Penna takes us through his 12-year journey bringing the anterior approach to hip replacement patients in São Paulo and beyond. Starting with limited resources, no specialized tables, and complex public hospital cases, Dr. Penna persevered through the steep learning curve, eventually introducing dedicated instrumentation, implants, and the Hana table to his practice. With improved surgical times, reproducible results, and patients walking out in hours, now 100% of his primary surgeries are anterior, and is expanding training nationwide. Packed with case examples, lessons learned, and insight into Brazil’s healthcare landscape, this talk captures both the challenges and rewards of pioneering a new technique in a country with high demand and diverse patient needs. Dr. Pena shares his insights on the anterior hip replacement approach. This *medical education* event highlights the *surgical training* advancements and *orthopedic surgery* techniques. The presenter showcases the improvements in *hip surgery* outcomes achieved with the *anterior hip replacement* approach, making it a must-watch for anyone in *orthopedics* or interested in **hip replacement surgery**.