Part 1 The elements of the problem: early-onset osteoarthritis of the hip - causes, incidence and natural history, James Crossan and Ruth Wynne-Davies; the biomechanics of degenerative change in the hip - a personal view of normal and abnormal mechanics and principles for conservative energy, Paul Maquet; the pathology of degenerative change in the hip - the microscopic changes, Peter G.Bullough; gross changes and their surgical implications, Michael Freeman. Part 2 Conservative surgery: osteotomies of the proximal femur, Paul Maquet; acetabulum rotation osteotomies - acetabuloplasty, "spherical" osteotomy, triple, osteotomy of the pelvis, Dietrich Tonnis; acetabulum displacement osteotomy - the Chiari operation, David Reynolds; techniques from earlier years - "shelf" operation and the "hanging hip", P.E.L.Evans. Part 3 Radical surgery: arthrodesis of the hip, Nicholas Fiddian; excision of the hip - the Girdlestone arthroplasty, David Hamblen; cement fixation for stemmed prostheses, R.S.M.Ling and G.A.Gie; press-fit prostheses - design considerations, Michael Freeman; press-fit prostheses - clinical experience, Peter Ring; ingrowth fixation for stemmed prostheses, Charles A.Engh et al; surface replacement arthroplasty - evolution of today's ingrowth-fixed design, Harlan C.Amstutz et al; some questions answered, David Reynolds and Michael Freeman.