Aims: To determine pre and post-op patient satisfaction and to document complications. Methods: A questionnaire based study of a consecutive series of 71 Birmingham Hip Resurfacings performed by a single surgeon over a two year period. Mean age 54 (range 29 to 70 years). Outcome measures used were the Oxford Hip Score and Short Form 36 Results: There was a signiþcant improvement in outcome scores following surgery. Oxford hip score improved from 41.1 to 16.6 (signiþcant p< 0.05) SF36 score improved from 24.8 to 48.2 (signiþcant p< 0.05) Complications were 2 femoral nerve palsies, 1 lateral popliteal nerve palsy, 1 re-operation for a retained guide pin, 1 post operative fracture, 1 DVT, 1 PE and 8 patients received oral antibiotics for wound erythema or discharge but there were no deep infections. 89% would recommend the operation to a friend, with males rating the operation more highly. Mean visual analogue score of 91% for overall satisfaction, again males rating higher. Conclusions: Birmingham Hip Resurfacing gave signiþcant improvements in patient function, comparable or better than other similar results looking at conventional hip replacement. Patient satisfaction is high despite the younger patient group with active life styles. The group includes one Jiu Jitsu instructor and a triple marathon runner. One patient had previously had a contralateral conventional uncemented total hip replacement which he was pleased with... until he had experienced Òthe ÒfeelÒ of my Birmingham HipÒ