
Condition
Hip Arthritis
Groin pain, stiffness and a shrinking walking distance, diagnosed accurately, with non-surgical options explored fully first.
Read MoreConsultant Hip & Knee Surgeon · London
Primary, Complex & Revision Joint Replacement
From first consultation to final review, every patient is cared for personally by Paddy Subramanian, with honest advice, modern technique and a recovery plan built around your life.
Areas of Expertise
Focusing exclusively on the hip and knee allows a depth of specialist experience across the full spectrum of conditions, from common hip and knee problems and primary joint replacement to complex and revision surgery.
Every patient receives individualised care, with treatment tailored to their diagnosis, symptoms, lifestyle and personal goals. Whether the right approach is reassurance, non-operative treatment, an injection or surgery, you will receive a clear diagnosis and an evidence-based recommendation.
Your care is personally led by Paddy Subramanian throughout the journey, from your initial consultation and treatment planning to subsequent follow-up.

Primary total hip replacement using a muscle-sparing approach, modern bearings and enhanced-recovery protocols, with many suitable patients home the same day.
Learn MoreTotal and partial knee replacement planned around your anatomy, restoring a natural feeling knee with a structured, supported rehabilitation programme.
Learn MoreComplex revision of failed, loose, worn or infected joint replacements, a specialist tertiary interest with meticulous pre-operative planning.
Learn MoreTechnology-assisted joint replacement with 3D planning and robotic accuracy, delivering precise implant positioning and reliable soft-tissue balance.
Learn MoreExperience in Numbers
500+
Hip & Knee Joint Replacements Annually
2,600+
Primary & Revision Procedures Recorded
260+
Hip & Knee Revisions Recorded
Since 2019
Day-Case Joint Replacement Programme
Source: National Joint Registry practice profile, April 2025 – March 2026.
Conditions & Treatments
Clear, jargon-free guides to the conditions treated in this practice and the procedures used to put them right.

Condition
Groin pain, stiffness and a shrinking walking distance, diagnosed accurately, with non-surgical options explored fully first.
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Primary surgery
Muscle-sparing primary hip replacement with registry-proven implants and enhanced recovery, many suitable patients home the same day.
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Complex cases
Specialist revision of loose, worn, unstable or infected hip replacements, including referrals from other consultants.
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Condition
Staged treatment from physiotherapy and injections through to replacement, guided by your symptoms, not your x-ray.
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Primary surgery
Precision knee replacement with careful soft-tissue balancing and robotic assistance where it adds accuracy.
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Primary surgery
Unicompartmental resurfacing of a single worn compartment, one of the few practices offering lateral as well as medial replacements.
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Condition
Evidence-based care of torn cartilage: most tears settle without surgery; day-case arthroscopy when it genuinely helps.
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Complex cases
Structured assessment of the painful knee replacement, and revision surgery when a clear cause is found.
Read MoreBook a consultation and leave with a diagnosis, your imaging explained and a written plan, whether or not that plan involves surgery.
Book ConsultationA Personalised Approach to Care
“The right treatment starts with the right diagnosis. Not everyone with hip or knee arthritis requires surgery. I aim to understand how the problem is affecting each individual patient, explain the available treatment options clearly, and make a shared decision about the most appropriate treatment.”
Despite a high-volume surgical practice, no two patients are treated the same. Surgery is never recommended simply because arthritis is present. Every decision is shared, and shaped by your symptoms, expectations, priorities and circumstances.
A Specialist Area of Practice
When a hip or knee replacement is painful, loose, unstable or infected, finding out exactly why is the essential first step. Paddy Subramanian has substantial experience in complex primary and revision arthroplasty, and regularly assesses patients with difficult problems after previous surgery.

Modern Joint Replacement
Innovation is only worthwhile when it makes your outcome better. Robotics, enhanced recovery and day-case surgery are offered where the evidence supports them, never as marketing.
3D planning and robotic accuracy for precise implant positioning, with custom and patient-specific solutions where appropriate, explained honestly, benefits and limitations alike.
Robotic surgeryModern anaesthesia, opiate-sparing pain relief and mobilisation within hours of surgery, a whole-pathway approach that helps every patient recover faster.
Enhanced recoveryA day-case hip and knee replacement programme running since 2019. Carefully selected patients go home the day of surgery, and no one is discharged before they are clinically ready.
Day-case surgeryStruggling to walk with a severely worn hip, this patient had a complex total hip replacement with Paddy Subramanian and went home the same day. Six weeks later, in his own words, and back on his feet. Shared with his kind permission.
Dr Subramanian has been approachable, professional and allowed me to consider what is a major surgery with confidence. All my questions were answered and I felt involved in the decision making. I am now back on my feet with a neat scar. I would recommend him highly to anyone.
Verified Patient
Hip Replacement, Doctify (August 2026)
Patient Testimonials
Every patient's experience matters. These are the words of people who came in unable to walk comfortably and left able to get back to their families, their work and their sport.
Read More Testimonials
Fellowship-trained in hip and knee arthroplasty in the UK and abroad.
Recorded in the National Joint Registry, including complex revisions referred by other consultants.
Your surgeon performs your consultation, operation and follow-up personally.
About Your Surgeon
Consultant Orthopaedic Surgeon, BSc (Hons) MBBS MRCS MSc FRCS (Tr & Orth)
Paddy Subramanian is a consultant orthopaedic surgeon based in London whose practice is focused on hip and knee replacement, including complex revision surgery, alongside trauma care. He trained on the North London rotation before completing specialist arthroplasty fellowships, and now divides his time between NHS practice and private patients across London and Hertfordshire.
His approach is deliberately unhurried. Patients are given the time to describe the problem properly, to see and understand their own imaging, and to consider all options, including the option not to operate. Where surgery is the right answer, it is planned meticulously and delivered using modern, evidence-based technique.
Alongside primary joint replacement, Paddy Subramanian holds a specialist interest in revision surgery and regularly accepts referrals for painful or failing hip and knee replacements.
You will always see the same surgeon. The consultant who assesses you is the consultant who operates on you and the consultant who reviews your recovery.
Why Choose Paddy
Choosing a surgeon is a significant decision. These are the principles that shape how patients are looked after in this practice, before, during and long after surgery.
Paddy Subramanian personally performs every consultation, every operation and every follow-up review. You will never be passed to a member of the team.
A practice focused on hip and knee arthroplasty, including complex revision work referred by other surgeons, alongside trauma surgery.
Enhanced recovery and modern anaesthesia mean shorter stays, less pain and a faster return to normal life. Many suitable patients go home the same day, through a programme running since 2019.
Surgery is only ever recommended when it is genuinely the right option. Many patients leave a consultation with a non-surgical plan.
Access to robotic and computer-assisted planning for precise implant positioning and reliable soft-tissue balance.
Consultations usually available within 24 hours, with same-visit imaging and a written plan sent to you and your GP.
Innovation, Research & Education

Surgical education innovation delivering live, surgeon-perspective teaching to medical students during real operations, bringing the theatre to the lecture hall.
An advocate of evidence-based practice, Paddy Subramanian has published widely, including as lead author of one of the most-read pieces in the British Medical Journal, and contributes regularly to National Joint Registry data.
NHS Trauma Lead, trainer to specialist registrars and an invited speaker at UK arthroplasty meetings on revision surgery and robotics. Winner of the Uren Foundation Prize at Imperial College and, most recently, the best poster prize at the British Hip Society.
The Times
Inside an NHS ‘barn theatre’ with four operations done at once
The Times reports from the pioneering barn theatre at Chase Farm Hospital, opening with Paddy Subramanian at the operating table as four joint replacements proceed side by side.
Royal Free London
“Nothing beats waking up in your own bed”: a new approach to hip and knee surgery
Royal Free London on the day-case hip and knee replacement pathway at Chase Farm Hospital, where a growing number of patients go home on the day of surgery.
Evening Standard
London hospital pioneers new approach to hip and knee surgery
Coverage of the day-case hip and knee replacement pathway pioneered at Chase Farm Hospital, with patients home on the day of surgery.
Royal Free London
Surgeon pioneers use of smart glasses to teach students
The 'Eyes On' project: Paddy Subramanian live-streams hip replacement surgery to medical students through smart glasses, giving them a first-person view and real-time questions.
Where I Practise
Consultations, imaging and surgery across leading private hospitals in London and Hertfordshire: choose the location most convenient for you.
Circle Health · Enfield
Main consulting and operating base for hip and knee replacement surgery.
Book DirectlyCircle Health · Enfield
Consultations, imaging and joint replacement surgery.
Book DirectlyCircle Health · Harrow
Consultations, imaging and joint replacement surgery.
Book DirectlyBushey, Hertfordshire
Outpatient consultations and same-visit imaging.
Book DirectlyHadley Wood, near Barnet
Outpatient consultation clinics.
Hampstead, NW3
Private consultations and specialist revision referrals.
Book DirectlyCredentials
Paddy Subramanian is on the GMC Specialist Register for Trauma & Orthopaedic Surgery and is an active member of the UK's principal hip and knee societies, contributing to national audit and continuing professional development.
Book a ConsultationInsurance Accepted
Fee-assured with the leading providers, with transparent self-pay packages also available.
Book an Appointment
Send a message to the medical secretary and you will receive a reply within one working day. Appointments are usually available within 24 hours.
Living with hip or knee pain does not have to be permanent. Book a consultation and find out exactly what is wrong, what your options are, and what life could look like without the pain.