Physiotherapy is the mainstay of treatment for post-operative total hip replacements as it attempts to address the issues of impairment, disability and function. The use of physiotherapy as an intervention either before or after surgery has been investigated, with evidence to suggest that there are benefits to outcome. Post-operative physical training which includes physiotherapy is beneficial to patients with a THR, even if they have co-morbidities. It has been proposed that early and late post-operative protocols should include treadmill training, resistance training for the quadriceps muscles, arm interval exercise training with weight bearing exercises and eccentric training of the hip abductors. These protocols appeared to provide benefits for the participants, increasing strength, endurance and balance. However, they may not be applicable clinically in the current socio economic scenario. There is a need for effective and simple protocols which can be implemented across a range of patient groups in a cost effective manner.