Wear and osteolysis leading to implant failure in medium and long-term results in total hip arthroplasty has been a controversial topic for a long time. Despite the development of technology and surgical techniques, it continues to be one of the biggest reasons for revision surgeries. There is no gold standard yet for treatment options with wear and osteolysis mechanisms. It is very important for the orthopaedics surgeon to master the surgical technique and materials to be used, and to plan accordingly.