I had a PAO with a femoral derotation on both legs. I have 18 screws and a plate all together. After I finished with my rehab i still had some pain. I decided to remove the screws in my pelvis and the pain went away. I left the screws and plate in my femur because i dont want them to go through all those muscles. If it is giving you a lot of pain it might be worth it but it is a tough call. It did work for me though.