OrthopaedicsDr. Mannu BhatiaJoint Arthritis

Associate Director, Centre for Orthopaedics, BLK-Max Super Speciality Hospital, New Delhi

Part 11 of 11 in Diagnosis and Management of Arthritis in Joints

The Cost of Joint Replacement Surgery in India for International Patients

September 6, 2026

Cost is one of the first questions international patients ask Dr. Mannu Bhatia, and he addressed it directly during his Jivo Masterclass session.

A fraction of the price elsewhere

Joint replacement surgery in India, in Dr. Bhatia's own estimate, costs around half of what the same procedure costs in Nigeria, and considerably less than the cost in Europe or the United States. He was equally direct that lower cost does not mean lower quality: in his assessment, results in India are, if anything, better.

What makes safe surgery possible at that cost

Dr. Bhatia noted that as more countries attempt joint replacement surgery, outcomes depend heavily on two conditions being met regardless of where the surgery happens: a genuinely sterile operating theatre, and strong post-operative care. Those two factors, in his view, are what actually determine whether a patient gets the benefit of the surgery, not the country where it takes place.

Few absolute barriers to surgery

Asked directly about absolute contraindications to joint replacement, Dr. Bhatia said there are essentially none beyond a patient's overall medical fitness for surgery, such as significant cardiac disease that would make an operation itself dangerous. Bilateral procedures, such as replacing both hips, can be done in a single sitting if the patient's body can tolerate it, or staged with a gap between the two sides if the body or the patient's finances make that the safer choice.

This article is based on a Jivo Masterclass session conducted by Dr. Mannu Bhatia, Associate Director, Centre for Orthopaedics, BLK-Max Super Speciality Hospital, New Delhi. The article has been summarised with the assistance of an AI tool from the original masterclass recording. Watch the full Masterclass recording

This guide is based on a live Jivo Masterclass: Dr. Mannu Bhatia taught doctors across Africa on February 2, 2025.

FROM THE LIVE Q&A

MO

Moderator

What is the best NSAID to use for osteoarthritis?

MB

Dr. Mannu Bhatia

I would not advise continuous use of NSAIDs, since they can have a harmful effect on the kidneys over time. Short-term use for pain relief is fine.

See all 6 questions from this masterclass →

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Frequently Asked Questions

How affordable are these surgeries at your facility?

They are very affordable in India, around half the cost of the same surgery in Nigeria, and much less than the cost in Europe or the US, with better results.

What is the definitive treatment for osteoarthritis?

The definitive treatment is that the patient should be visiting the doctor regularly. If the condition is detected and treated at an early stage, that is the definitive treatment. A patient who ignores an ACL injury, skips the recommended MRI, skips the recommended surgery and skips the medicines is the one who progresses to osteoarthritis and eventually needs a knee replacement. Patients with a problem in one knee who don't get it treated often go on to develop the same problem in the other knee, then the hips, then the spine. The definitive treatment is listening to the doctor and following through, whether that means physiotherapy or treatment for rheumatoid arthritis.

I have a patient with intermittent elbow pain, treated with oral and topical NSAIDs followed by PRP injections. What is the outcome of PRP for this patient in Ethiopia?

I am not a strong advocate for PRP. Once the joint surface and the cartilage are already gone, PRP cannot regenerate them, so I don't believe it delivers a real result. I would want to see the patient's X-rays, and an MRI if needed, before deciding what should actually be done.

What are the absolute contraindications for joint replacement?

As surgical techniques progress, more countries are attempting these surgeries, but two things need to be in place regardless: a genuinely sterile operating theatre, and excellent post-operative facilities, since that is what actually gets the patient the benefit of the surgery. There are no absolute contraindications beyond the patient having a poor overall medical condition, for example a cardiac condition that would make operating on them risky.

Is it possible to do a bilateral hip replacement in a patient with a slipped hip joint?

Bilateral hip replacement can always be done, either in the same sitting or with a gap between the two sides, depending on the patient's condition. If the body can tolerate it, both sides can be done together. If the body, or the finances, don't allow that, there can be a gap in between, but rehabilitation and the expected result need to be planned accordingly.

How does the cost of joint replacement in India compare to other countries?

Dr. Bhatia estimates it at around half the cost of the same surgery in Nigeria, and considerably less than in Europe or the United States, without a corresponding drop in outcomes.

Are there absolute contraindications to joint replacement surgery?

Dr. Bhatia says there are essentially none beyond a patient's overall fitness for surgery, such as significant cardiac disease. Otherwise, a sterile operating theatre and strong post-operative care are what actually determine the outcome.

Can both hips be replaced in a single surgery?

Yes, if the patient's body can tolerate it. Otherwise, the two sides can be staged with a gap in between, depending on the patient's physical condition and finances.

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