I lead the nation in hip resurfacing. I began performing metal-on-metal total hip resurfacing arthroplasty (HRA) in 1999. With the retirement of Dr. Harlan Amstutz, I now have the longest track record of performing this operation in the United states. I have performed over 3500 HRA, which is the fourth largest series in the world. In the rare patients that are not resurfacing candidates, I perform large metal bearing total hip replacements (THR). Patients who are worried about rare adverse metal wear failures can choose a ceramic / cross-linked polyethelene THR also done using a minimally invasive technique.