Modern Pathway
Enhanced Recovery & Day-Case Joint Replacement
Paddy Subramanian has offered day-case joint replacement since 2019 as part of a modern enhanced-recovery pathway. With the right preparation, anaesthesia and support, carefully selected patients can be home, safely, on the day of surgery.
What enhanced recovery means
Enhanced recovery is a whole-pathway approach: optimising health before surgery, modern spinal and local anaesthetic techniques, minimal blood loss, effective pain relief without heavy opiates, and mobilisation with a physiotherapist within hours of the operation. Every element is designed to help the body recover faster.
Day-case joint replacement
For appropriately selected patients (generally in good health, with support at home), hip and knee replacement can be completed as a day case, a programme Paddy Subramanian has run since 2019. Careful patient selection and peri-operative management are what make it safe; it is never forced, and no one goes home before they are clinically ready.
Is it right for me?
Not every patient should or will go home on the day of surgery, and staying overnight is entirely normal. Your suitability is assessed individually, the plan is agreed with you in advance, and the same enhanced-recovery principles benefit every patient, whichever pathway is right for you.
Minimally invasive surgery
Some patients, depending on body habitus and the complexity of surgery, can have minimally invasive surgery (MIS), with scars less than 10cm. For hip replacement, Paddy Subramanian also offers the muscle-sparing direct anterior approach, reaching the hip between the muscles without routinely detaching their attachments, which can support earlier walking and complements the day-case pathway.
Read more before you decide
- Hip Replacement Recovery GuideWhat to expect week by week after a hip replacement, from the day of surgery to driving and work.
- Knee Replacement Recovery GuideAn honest week by week guide to knee replacement recovery, pain relief and physiotherapy.
- Anterior Approach Hip ReplacementThe muscle-sparing approach through the front of the hip, and who it suits.
A complex hip replacement at 41, home the same day
One patient's journey through the day-case pathway with Paddy Subramanian. His x-rays and story are shared here with his kind permission.
Before surgery
A severely worn hip at just 41, walking had become a real struggle.
The day of surgery
A complex total hip replacement, up and walking within hours, and home the same day.
Six weeks on
Back on his feet and doing amazingly, as he tells it in his own words.
Recovery you can see
Real patients on the enhanced-recovery pathway, moving in theatre as the dressing goes on, and walking on the ward within hours of hip and knee replacement.
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
Back to the life you had before the pain.
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 TestimonialsTake the first step today
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.