Pelvic discontinuity is a challenging complication of acetabular revision surgery, often encountered during revision total hip arthroplasty (THA), and occasionally during primary THA. Revision and re-revision total hip arthroplasties are complex surgical applications. During these surgeries, surgeons face many challenges that they must overcome. The key to successful management of pelvic discontinuity is: to evaluate the case carefully and in detail, to place a stable and durable acetabular component, and to create a suitable environment for healing. Correct diagnosis and selection of appropriate components will reduce complications, and speed up recovery. Despite the large number of case series reporting the outcomes of various treatment options, the management of pelvic discontinuity remains one of the most challenging aspects of hip surgery. However, the optimal surgical method for treatment is still controversial. Increasing number of long-term studies involving adequate series of patients treated with specific surgical procedures will guide the treatment to be chosen.