Surface replacement is currently recognized as a viable alternative to conventional total hip arthroplasty for young patients with end-stage osteoarthritis of the hip. The procedure involves either a hemiresurfacing of the femoral head or a total surface replacement of both the femoral head and the acetabular surface. Indications for hip surface replacement include degenerative conditions that irretrievably destroy the articular surface of the hip, resulting in pain and disability. Common conditions include osteoarthritis, posttraumatic arthritis, femoral head osteonecrosis, as well as degenerative sequelae of childhood hip disorders such as slipped capital femoral epiphysis or developmental hip dysplasia. This article presents a concise description of our metal-on-metal hip resurfacing arthroplasty using the Conserve®Plus implant.