Hi, thanks for writing to HCM. I totally agree with you on the point that surgery could not be worse than the pain and discomfort you have. But a point of note here is that IMPLANT LOOSENING is the most feared complication after a total hip replacement done in obese people. This ultimately leads to early failure and needing a revision at an early date. Before you opt for surgery, try the below mentioned measures and see if they work - Physical therapy : The mainstay of treatment in the early case is physical therapy, which should be directed at maintaining joint mobility and improving muscle strength. Other measures, such as massage and the application of warmth, may reduce pain. Load reduction : Protecting the joint from excessive load may slow down the rate of cartilage loss. It is also effective in relieving pain. weight reduction for obese patients, wearing shock-absorbing shoes, avoiding activities like climbing stairs and using a walking stick are worthwhile. Analgesic medication : Pain relief is important, Simple over the counter medications like acetaminophen is sufficient in most cases. If this fails to control pain, a non-steroidal anti-inflammatory drugs may be better. Viscosupplementation : Hyaluronic acid injections given into the joint in prescribed dosages will give good short term relief in selected cases and helps in postponing total knee replacement surgery atleast for a year or two. Hope this information is helpful. Good day