SPAIRE Hip Replacement Technique
A muscle and tendon-sparing posterior approach to hip replacement, used by Professor Paul Lee at the 5-star Weymouth Street Hospital in London.
A muscle and tendon-sparing posterior approach
SPAIRE is a modern posterior approach to total hip replacement. The technique preserves the small rotator tendons around the back of the hip joint rather than detaching and reattaching them, as some traditional posterior approaches do.
By keeping those tendons intact, the approach is intended to support the natural stability of the hip joint and help suitable patients mobilise more confidently after surgery.
Professor Paul Lee trained in the SPAIRE approach under Professor Timperley at the Exeter Hip Unit, one of the world-renowned centres for hip surgery.

What the approach is designed to do
Preserves the small rotator tendons
The posterior small rotators are not detached, which is intended to support joint stability after surgery.
Aims to support faster mobilisation
By limiting muscle and tendon disturbance, the approach aims to make confident early mobilisation easier where clinically appropriate.
Trained at the Exeter Hip Unit
Professor Lee trained in the SPAIRE approach under Professor Timperley at the Exeter Hip Unit, one of the world-renowned hip centres.
Is SPAIRE right for you?
Whether the SPAIRE approach is right for you is a clinical decision made by Professor Lee at consultation, based on imaging and assessment. As a general guide, suitable candidates include:
- Symptomatic hip arthritis where conservative measures have not provided sufficient relief
- Patients clinically suited to a posterior surgical approach
- Patients confirmed as fit for surgery on pre-operative assessment
Honest about the limitations
- Not every patient is anatomically or clinically suited to the SPAIRE approach. Your suitability is confirmed at consultation.
- As with any hip replacement, there are individual risks. These are discussed in full before any decision to proceed.
- SPAIRE is one of several modern hip replacement approaches. The choice of approach is a clinical judgement made with you.
Recovery support is part of the package
SPAIRE is one part of the £17,800 hip replacement package. The package also includes an overnight stay at the 5-star Weymouth Street Hospital, a private luxury car service to and from London for eligible UK patients, local follow-up in Lincolnshire, and unlimited post-op physiotherapy at our Grantham or Sleaford clinics.
Recovery looks different for every patient. Your recovery timeline and any restrictions will be confirmed by your surgical team based on your procedure.
Talk it through with our team
Free discovery call
Discuss whether SPAIRE is right for you
A free non-medical call to walk through the pathway. Confirmation of suitability happens later at a clinical consultation.
Patient journey
See the 8-step pathway
From free discovery call to local consultation, London surgery and unlimited Lincolnshire physio.
Your surgeon
Meet Professor Paul Lee
Consultant orthopaedic surgeon trained in the SPAIRE approach at the Exeter Hip Unit.
Cost & what’s included
See the £17,800 package
A complete breakdown of what the SPAIRE hip replacement package includes, with no surprise charges.
Explore more
The £17,800 private hip replacement package, the SPAIRE technique, recovery support and everything else you need to make the right decision.

