This chapter presents a case scenario of a 65‐year‐old female presents to orthopedic specialists' clinic after reading about the direct anterior approach (DAA) to total hip arthroplasty (THA). The results of THA performed through a DAA are largely comparable to posterior and lateral approaches and are not considered superior. There are limited long‐term data evaluating outcomes following a THA through the DAA. The importance of component alignment relates to its influence on longevity of the implant as well as functionality. It is important to understand what unique complications a surgeon faces when using the DAA and compare these to other hip approaches. A perioperative fracture is potentially a devastating complication often requiring further fixation and or surgical procedures. Many surgeons have switched approaches due to the fear of dislocation and hip instability. The chapter also provides recommendations for implementing evidence‐based practice in the clinical setting.