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Hip resurfacing has been developed as a surgical alternative to total hip replacement. The procedure consists of placing a cap , which is hollow and shaped like a mushroom, over the head of the femur while a matching metal cup is placed in the acetabulum , replacing the articulating surfaces of the person's hip joint and removing very little bone compared to a THR. When the person moves the hip, the movement of the joint induces synovial fluid to flow between the hard metal bearing surfaces lubricating them when the components are placed in the correct position. The surgeon's level of experience with hip resurfacing is most important; therefore, the selection of the right surgeon is crucial for a successful outcome. Health-related quality of life measures are markedly improved and the person's satisfaction is favorable after hip resurfacing arthroplasty.