Congenital dislocation of the hip (CDH) untreated until walking age is a complex orthopedic problem requiring sophisticated treatment. The aims of treatment of these cases should be to reestablish the mechanics of the hip joint and avoid complications, especially avascular necrosis, thus delaying the development of osteoarthritis. The authors have treated CDH in older children;15 hips from 14 patients between 3 and 7 years of age. With arthrography and prior traction (average 3.2 weeks) as the fundamental step, open reduction was required to all cases. Additional procedures, including Salter's innominate osteotomy in 10 cases, Salter's operation with varus derotation osteotomy in 5, were done either at the time of open reduction or secondarily. At the most recent follow up (minimun 5 years, average 7.4 years), according to the radiographic evaluation by Severin, 12 cases were satisfactory, avascular necrosis was observed in 3 cases. Fourteen patients (15 hips) were reviewed with respect to pain, ability to walk, range of motion, the presence of Trendelenburg's sign and the final radiograph by the criteria of Muller and Seddon. The results were very satisfactory (excellent in 12 hips, good in 3 hips). It was thought that children with CDH who are 3 years or older can be safely treated with a preliminary traction and open reduction combined with either innominate osteotomy and/or varus derotation osteotomy of femur without increasing the risk of avascular necrosis.