The surgical approach is an important element in the quality of total hip replacement. Adequate surgical exposure based upon thorough fundamental knowledge of anatomy facilitates surgery and ensure optimum results in total hip replacement. Several surgical exposure techniques are utilized and have been described in the literature; all stress the importance of visualization of the acetabulum and the proximal femur in affording an atraumatic, expedient entry into the hip joint. Additionally, surgical exposure should be versatile, allowing for development to easily accommodate revision scenarios.