MSK Doctors

Hip Replacement - Bikini/SPAIRE

The bikini incision and SPAIRE technique are minimally invasive solutions to hip replacement surgery. They both aim to reduce tissue damage and improve recovery, offering a brilliant alternative to traditional hip replacement surgery.

Professor Paul Lee with a pelvis and hip model

2 minute check

Hip readiness assessment

Is hip replacement right for you?

Nine quick questions about how your hip is behaving — pain, function, sleep, imaging and what you've already tried. We use it to suggest the right next step: a free discovery call, a private consultation, or a clear conversation about hip replacement with Professor Paul Lee. It takes about two minutes, and the result is always an invitation to talk.

  • We read your hip through four lenses: severity, structure, treatment trail & readiness
  • It is not a diagnosis — the result is always a starting point for a conversation
  • Non-surgical options like Arthrosamid, delivered locally in Grantham or Sleaford, can protect the joint and delay surgery where suitable

This assessment is for guidance only and is not a diagnosis. Your final recommendation depends on a clinical assessment, your scans and your goals.

About
Two-step, minimally invasive solution to hip replacement surgery
Effective
Referrals
Not Needed
Booking
Instant-book option available
Cost
£17,800 Lincolnshire
CallBook a consultation
spaire logo

Nature of Bikini/SPAIRE hip replacement

Hip replacement using the Bikini or SPAIRE approach is a modern, minimally invasive technique designed to restore mobility and relieve chronic hip pain. The Bikini approach involves a cosmetically placed incision along natural skin lines, while SPAIRE preserves key muscles and tendons. These advanced methods minimise tissue damage, promote faster recovery, and reduce post-operative pain. A damaged hip joint is replaced with a prosthetic implant that mimics the natural joint, improving function and quality of life.

Common causes of hip joint injury

Hip Joint Damage Commonly Results From Degenerative Or Traumatic Causes, Including:

Osteoarthritis: The most common cause, leading to cartilage loss, stiffness, and chronic hip pain.

Hip fractures: Severe fractures, especially in older adults, may require full joint replacement.

Rheumatoid arthritis: Chronic inflammation damages cartilage and joint lining over time.

Avascular necrosis: Reduced blood supply to the hip causes bone collapse and joint failure.

Developmental conditions: Structural abnormalities such as hip dysplasia can lead to early degeneration.

Diagnosis for Bikini/SPAIRE hip replacement

Diagnosis begins with a detailed clinical assessment of symptoms like hip stiffness, reduced mobility, and persistent pain during activity or rest. Patients are often evaluated for their ability to walk, sit, and perform daily activities. Imaging studies, including X-rays and MRI scans, help assess the extent of joint damage and confirm whether the cartilage is worn or bone surfaces are deformed. When conservative treatments such as medication or physical therapy are no longer effective, hip replacement may be recommended. The Bikini or SPAIRE method is selected based on patient anatomy and recovery goals.

Hip Replacement Implant Demo

Who it suits

Suitable for

  • Osteoarthritis
  • Rheumatoid Arthritis
  • Hip Fracture

Treatment overview

The bikini SPAIRE treatment is a two-step approach to hip replacement.

The bikini incision, along the bikini line, avoids major muscle and tendon disruption, unlike the traditional hip replacement scar which is on the front, side or back of the hip. This can lead to quicker recovery times, as well as reduced postoperative pain and scarring.

Following the bikini incision, the SPAIRE (Spare Piriformis And Internus, Repair Externus) is a modern approach to hip replacement that aims to preserve the muscles and tendons around the hip joint. The traditional approach to replacement goes through the posterior tendons, however, these tendons are incredibly important for standing from seated and for climbing stairs.

The SPAIRE approach spares these tendons, meaning there is less trauma to the joints and surrounding area. This leads to faster recovery with fewer complications.

  • The incision along the bikini line avoids cutting major muscles, which reduces healing time and muscle damage
  • Patients experience swift recovery, with many standing and walking within 24 hours
  • 95%+ patient satisfaction
  • Reduced dislocation risk due to muscle retention

Cost and paying

How to Pay

We offer a range of flexible payment options to make your treatment experience smooth and stress-free.

Paying for Yourself (Preferred Option)

Most patients choose to self-fund their treatment. We accept:

  • Bank Transfers
  • Credit/Debit Cards
  • Cash (in person only)

Instalment Plans

We’ve partnered with GoCardless to offer interest-free instalment options. You can easily set up a Direct Debit to spread the cost of your treatment over time.

Finance Options

Looking for a financing plan? You can apply through Kandoo, our trusted finance partner.

  • Instant online decision
  • No impact on your credit score
  • Multiple lenders for competitive rates

Private Medical Insurance (Limited Availability)

We work with a small number of approved insurance providers. However, due to restrictions from many insurers, not all treatments are covered. Please check with your insurer and speak to our team before booking to avoid disappointment.

What happens

Treatment Booking Process

  1. 01

    Online booking/call

    Use our website to book an initial consultation, or give us a call.

  2. 02

    Consultation

    Our doctors might request you arrange a scan before your initial consultation. Or, they’ll chat with you (face to face or online) and recommend a scan after your initial consultation, if they think you need one.

  3. 03

    Treatment

    Once your scan results have been reviewed, and your doctor has explained your options, you will be booked in for treatment.

  4. 04

    Rehab

    Following your treatment, your doctor will give you rehab recommendations.

  5. 05

    Follow Up

    You will be booked in for a follow-up consultation, so your doctor can check your progress. You might need further rehab after this consultation.

  6. 06

    Discharge

    Once your doctor is happy with your recovery, you will be discharged. After discharge, we are always here for further questions or support, should you need it.

Frequently Asked Questions

How do I know if this treatment is suitable for me?

The bikini/SPAIRE approach is typically recommended for younger, more active patients or those who need faster recovery times and increased mobility. Our MSK Doctors will be able to talk through your suitability during a consultation.

What is the recovery time?

Patients who receive the bikini/SPAIRE hip replacement will usually be on their feet within 24 hours, with a full return to activity after 4-6 weeks. In contrast, recovery time for traditional hip replacement is 3-6 months.

Recent Articles & Medical Insights

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London Cartilage Clinic

Looking for Treatment in London?

We now offer select services at our Harley Street London clinic through the London Cartilage Clinic, led by internationally recognised surgeon Professor Paul Lee.

Book at Our London Clinic
  • Specialist in Cartilage Repair & Joint Preservation

    Our London clinic offers advanced treatments like cartilage regeneration and joint preservation to help patients avoid or delay joint replacement.

  • Harley Street Clinic

    Located in Central London, our clinic provides convenient access to world-class musculoskeletal care without long NHS wait times.

  • Transparent Pricing & Direct Booking

    If you would like to be seen in Central London, visit our London Clinic page for pricing, available treatments, and to book directly online.

  • Faster Recovery Outcomes

    Our Harley Street clinic uses cutting-edge techniques designed to reduce downtime and support faster, more effective recovery, getting you back to your lifestyle sooner.

Free discovery call

Book a free Discovery Call

Don’t wait to find relief. Whether it’s a consultation, scan, or treatment, we’re ready to help. Book a call with the admin team to discuss.

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