 I first saw Mr. Ganesh Chandra Shasmal, a 56-year-old gentleman who hails from West Bengal about a month black in my outpatient clinic. He complained of persistent pain in the right hip and inability to walk for the past 10 months or so. To give you a brief history, he had an injury to his right hip after sustaining a fall about a year back. He was advised that the ball of his hip joint had fractured and would need a hip joint replacement surgery. So this surgery was carried out but soon he found after 3 weeks after the surgery that his hip joint had become infected. So that means that he again had to go on to the knife and he had to do what is called a redo surgery. So that indeed was done at the same hospital where they took out the implant and put a temporary spacer inside. He was also told that the definitive surgery would be done after his infection was cleared. After that he underwent subsequently 2 more surgeries but they could not do the definitive procedure after that. This is when he consented me because he wanted to get mobile and back to his feet because he has not walked for more than a year now. We did x-rays and blood tests to see what his present condition was. His leg was shot by about an inch and a half. His x-ray showed that the whole half of the upper thigh bone was totally laced and dissolved due to infection. Luckily he did not have any infection that means that we could do the revision or redo procedure. We told him that it would be an extensive surgery. The surgery went well as planned. The whole half of the upper half of the thigh was damaged so we had to do an extensive procedure what we called as a proximal femur replacement where half of his thigh had to be replaced. On the socket side it was again a challenge because of not him being able to walk his muscles. We had to do a special type of cup what we called as the dual mobility cup which we used to prevent any dislocation. The surgery went well and he was able to walk immediately the next day after surgery. He is now almost 3 weeks down the line and he is able to walk comfortably with the walker. These kind of surgeries which we call as revision or redo replacements either the hip or the knee are usually done when the primary joint replacement fails. In these cases we need to treat the infection for a bit of 6 weeks up to 3 months and then do the revision or redo joint replacement procedure. After this the patient is expected to do well. This kind of revision joint replacement procedure are a huge challenge. It requires a multi-disciplinary setup team which needs surgeons, physios, nurses and rehab team to work in sync and we at Manipal have a dedicated team to carry out these kind of complex joint replacement and revision procedures. Thank you.