Developmental hip dysplasia are one of the most common reasons for secondary osteoarthritis of hip. Although total hip arthroplasty (THA) is an effective surgery for relieving pain and improving function in an osteoarthritic hip, application of THA for osteoarthritis which is secondary to developmental dysplasia of the hip is difficult. The identification and prepation of the true acetebulum, the prepation of the femoral canal, and reduction of the components pose important technical problems. In this article, features of reconstruction with THA are discussed depending on classification of development dysplasia of hip.