Total hip replacement is an available rnethod of treatment for various causes of disabled hips in adults, especially in painful stiff hips. In many cases, malposition has led to degenrative changes in the opposite hip, the lumbar spine or knee, often with severe loss of function due to pain. Between March, 1979 and February, 1983, twenty hips in sixteen patients with painful and deformed hips were operated at Kosin Medical College, and we obtained relif of pain and increase of range of motion of the hip joints. Furthermore we found relife of adjacent joint pain in several cases, and in addition correction of inequality of leg lenght.