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The total hip replacement has been called the operation of the century. Surgeons toiled for decades to improve the procedure until Sir John Charnley developed the gold-standard "low-friction arthroplasty" in the 1950s. Currently, hip replacement surgery is a reliable tried-and-true operation, but challenges remain, mostly in the areas of surgical approach and bearings. Dr. David Zeltser, of UW Medicine, highlights important historical landmarks leading up to the modern hip replacement. UW Medicine's Dr. Thomas Tanous follows with a review of minimally-invasive and traditional surgical approaches. Dr. Paul Manner, UW Medicine, who recently testified to the FDA on metal-on-metal bearings, concludes the lecture with a discussion of various bearings used in hip replacement. Howard Chansky, MD Professor and Vice Chair Dept. of Orthopaedics and Sports Medicine, UW Medicine David W. Zeltser, MD Orthopaedic Surgery Resident (R4) UW Medicine Paul A. Manner, MD Associate Professor of Hip and Knee UW Medicine Thomas L. Tanous, MD Clinical Assistant Professor of Hip and Knee UW Medicine