Abstract: Objective To discuss the indications and other related issues of artificial hip replacement. Method A retrospective analysis was conducted in 37 cases with artificial hip replacement with complete follow-up data treated between 1996 and 2001. Results The patients were followed up for 1 to 5 years. The average Harris score of these patients was 51 preoperatively and 82 postoperatively, and 10 of them had excellent, 23 good, 2 acceptable and 2 poor outcomes. Such complications as prothesis mobilization (2 cases), joint dislocation (1 case), prothesis pricking through the femor (1 case) and infection (3 cases) occurred after the operation. Embolism in the deep veins of the lower limb, sciatic nerve injury or severe general complications were not observed. Conclusion Proper evaluation of the indications, careful preoperative preparation, proficient operative skills, and good postoperative treatment can ensure favorable outcome of artificial hip replacement with minimum complications.