 Hello, I'm Dr. Sunil Kini, consultant joint replacement and arthroscopy surgeon at Manipal Hospital's Bangalore. Post a total hip replacement surgery, patient is immediately started encouraged to stand up and walk the very next day after surgery using the help of a aid or a walker. Subsequently, the physiotherapy intensity is increased and by the end of three to five days most patients are comfortable to walk out of the room into the corridors. The knee and hip strengthening exercises also started immediately after surgery. Hip strengthening exercise includes strengthening the gluteal or the muscles behind the hip. Muscles on the side of the hip which we call the hip abductors. The hip and knee range of motion exercises also started after a hip replacement surgery immediately thereafter.