If you are considering hip replacement, you may come across terms like “robotic-assisted surgery” or “Mako hip replacement.”
It is natural to wonder how this compares to traditional hip replacement — and whether one option is better for you.
The reality is that both approaches are designed to relieve pain and improve mobility. The difference lies in how the surgery is planned and performed, and what that may mean for precision, consistency, and recovery.
Understanding these differences can help you make a more informed decision when choosing your surgeon and treatment approach.

What Is Traditional Hip Replacement?
Traditional hip replacement has been performed successfully for many years. In this approach, the surgeon removes the damaged portion of the hip joint and replaces it with artificial components.
The procedure relies on:
- The surgeon’s training and experience
- Standard imaging, such as X-rays
- Intraoperative judgment during the procedure
This method has helped many patients return to walking, traveling, and daily activities with less pain.
What Is Robotic-Assisted Hip Replacement?
Robotic-assisted hip replacement uses advanced technology to support surgical planning and execution.
Before surgery, a detailed 3D model of your hip is created. This allows the surgeon to plan:
- Implant size and positioning
- Alignment of the joint
- Restoration of leg length and hip mechanics
During surgery, robotic technology assists the surgeon in executing the plan with high accuracy.
It is important to understand that the robot does not perform the surgery on its own. The surgeon remains in control at all times, using the technology as a tool to enhance precision.
How These Approaches Compare
While both approaches aim to treat hip arthritis effectively, there are some important distinctions.
- Traditional: Based primarily on X-rays and intraoperative assessment.
- Robotic-assisted: Uses a preoperative 3D plan tailored to your anatomy.
- Traditional: Relies heavily on surgical experience and manual technique.
- Robotic-assisted: Provides real-time feedback and guidance during the procedure.
- Traditional: Outcomes can vary depending on multiple factors.
- Robotic-assisted: Designed to help achieve consistent execution of the surgical plan.
- Traditional: Uses standard techniques adapted during surgery.
- Robotic-assisted: Allows for more individualized planning before surgery begins.
Does Robotic Surgery Mean Better Results?
This is one of the most common questions patients ask.
Robotic-assisted surgery is designed to improve accuracy and consistency, which are important factors in joint replacement. However, outcomes can vary depending on the patient, joint condition, and other factors.
What matters most is not just the technology — it is how the technology is used.
That is why surgeon experience remains one of the most important considerations when choosing a hip replacement surgeon.
Why Surgeon Experience Still Matters Most
Technology can enhance a procedure, but it does not replace surgical judgment, training, or experience.
Choosing a surgeon with a high level of experience in hip replacement — particularly with robotic-assisted techniques — may help ensure:
- Appropriate patient selection
- Thoughtful surgical planning
- Consistent execution
- Clear communication before and after surgery
Robert J. Avino, M.D., is a board-certified, fellowship-trained orthopedic surgeon specializing in hip and knee replacement, including robotic-assisted hip replacement with Mako technology. He has extensive experience performing joint replacement procedures and emphasizes a patient-centered, individualized approach to care.
Which Option Is Right for You?
There is no one-size-fits-all answer. The right approach depends on:
- The severity of your hip arthritis
- Your anatomy
- Your activity level and goals
- Your overall health
Some patients may be strong candidates for robotic-assisted hip replacement, while others may still benefit from more traditional approaches.
The most important step is to have a detailed evaluation and discussion of your specific situation.
Taking the Next Step
If you are exploring hip replacement, understanding your options is an important part of the process. A consultation allows you to review your imaging, discuss your symptoms, and determine whether you may be a candidate for surgery — and which approach may be appropriate.
You can request an appointment through the website form, or call to schedule and ask for Dr. Avino.

Schedule a Consultation Today
If hip or knee pain is slowing you down, don’t wait. Request a consultation online or call
Palm Beach Orthopedic Institute and ask for Dr. Robert J. Avino.