@beachbabe I have friends who have had successful anterior surgeries and my physical therapist was aghast that I had chosen posterior. But I also know a person whose anterior replacement got dislocated although that can happen regardless of anterior/posterior, but I also know two people who had nerve damage from anterior placements. Since I have nerve issues in my legs from my spinal issues, I didn’t want the possibility of more nerve damage, no matter how rare it might be.

In the end, two articles influenced me the most, as well as knowing that my surgeon would have more choices as to the length of the implement that goes into the hip if I had the posterior approach. My surgeon went in through the side of my hip, not through the buttock muscle. The scar is only a few inches long and much faded now, plus not where anyone is going to see it anyway. Reading these two articles made me decide to go with a doctor who did posterior hip replacement. Of course I also found out all I could about him and made sure thathe had a good reputation. My doctor was board certified and had done over 10,000 joint replacements.

The articles: https://kingandparsons.com/2019/08/19/reasons-not-direct-anterior-total-hip-replacement-surgery-portsmouth/
https://holycrossleonecenter.com/anterior-approach-2
Again, I know people who have had completely good experiences with the anterior approach. I’m the outlier by deciding on posterior, but I had a great experience with the posterior approach and three years later am so happy that I had my hip replaced. It is a miracle surgery in my opinion.