Bilateral hip surgery, also known as bilateral total hip replacement, is a surgical procedure in which both hip joints are replaced with prosthetic joints during a single surgery. This procedure is typically reserved for patients who have severe, debilitating, bilateral hip disease and is most commonly performed on younger patients in good overall health, as they are most likely to be able to tolerate the surgery. The advantages of bilateral hip replacement include one trip to the operating room instead of two, one anesthetic, and therefore one hospitalization. However, it is important to note that having both hips replaced in a single surgical procedure rather than a two-stage surgery requires a longer procedure that is associated with greater blood loss, longer exposure to anesthesia, and increased risk for complications, such as blood clots. The recovery time following bilateral hip replacement depends on factors like age, overall health, and type of procedure.