VetCostCalc

Hip Dysplasia Surgery Cost for Dogs: $3,000–$7,000 (2026)

Hip dysplasia affects 20% of large-breed dogs and the surgical options range from $1,500 to $7,000 per hip. The right procedure depends on your dog's age, size, and severity. FHO works for smaller dogs on a budget. Total hip replacement is the gold standard for large breeds but comes with a gold-standard price tag.

Cost at a Glance

Dog

$3,000–$7,000

Private vet, national avg

CA / NY

$3,900–$9,450

25–35% above avg

What Affects the Cost

  • FHO (femoral head ostectomy) costs $1,500–$3,000 per hip. Removes the ball of the femur so the body creates a false joint from scar tissue. Works best for dogs under 50 lbs.
  • Total hip replacement (THR) costs $5,000–$7,000 per hip and is the best outcome for large-breed dogs. The damaged joint is replaced with a metal and plastic implant. 90–95% of dogs return to full activity.
  • Non-surgical management works for mild cases: weight control, joint supplements ($20–$40/month), anti-inflammatories ($30–$60/month), physical therapy ($50–$100/session), and controlled exercise.
  • Bilateral hip dysplasia is common. If both hips need surgery, they're done 3–6 months apart. Total cost for bilateral THR: $10,000–$14,000.
  • Breeds most affected: German Shepherds, Golden Retrievers, Labrador Retrievers, Rottweilers, Bulldogs, Great Danes. Getting OFA or PennHIP screening before breeding reduces incidence.

Cost by State

National average adjusted by state cost-of-living index. Urban areas run ~30% higher than suburban; rural ~25% lower.

State Dog vs. Avg
Alabama $2460–$5740 -18%
Alaska $3750–$8750 +25%
Arizona $2850–$6650 -5%
Arkansas $2400–$5600 -20%
California $4050–$9450 +35%
Colorado $3300–$7700 +10%
Connecticut $3750–$8750 +25%
Delaware $3150–$7350 +5%
Florida $3000–$7000 0%
Georgia $2700–$6300 -10%
Hawaii $4200–$9800 +40%
Idaho $2700–$6300 -10%
Illinois $3150–$7350 +5%
Indiana $2640–$6160 -12%
Iowa $2550–$5950 -15%
Kansas $2550–$5950 -15%
Kentucky $2550–$5950 -15%
Louisiana $2550–$5950 -15%
Maine $3000–$7000 0%
Maryland $3450–$8050 +15%
Massachusetts $3900–$9100 +30%
Michigan $2700–$6300 -10%
Minnesota $3000–$7000 0%
Mississippi $2340–$5460 -22%
Missouri $2550–$5950 -15%
Montana $2760–$6440 -8%
Nebraska $2640–$6160 -12%
Nevada $3150–$7350 +5%
New Hampshire $3300–$7700 +10%
New Jersey $3750–$8750 +25%
New Mexico $2640–$6160 -12%
New York $3900–$9100 +30%
North Carolina $2760–$6440 -8%
North Dakota $2640–$6160 -12%
Ohio $2700–$6300 -10%
Oklahoma $2460–$5740 -18%
Oregon $3300–$7700 +10%
Pennsylvania $3000–$7000 0%
Rhode Island $3300–$7700 +10%
South Carolina $2640–$6160 -12%
South Dakota $2550–$5950 -15%
Tennessee $2640–$6160 -12%
Texas $2760–$6440 -8%
Utah $2850–$6650 -5%
Vermont $3150–$7350 +5%
Virginia $3150–$7350 +5%
Washington $3450–$8050 +15%
West Virginia $2400–$5600 -20%
Wisconsin $2760–$6440 -8%
Wyoming $2700–$6300 -10%

Data: AVMA fee surveys, BLS cost-of-living data. Ranges reflect typical private practice prices — low-cost clinics and university teaching hospitals charge significantly less.

Common Questions

How much does hip dysplasia surgery cost for a dog?
Hip dysplasia surgery costs $1,500–$7,000 per hip depending on the procedure. FHO (femoral head ostectomy) is the least expensive at $1,500–$3,000 and works well for smaller dogs. Triple pelvic osteotomy (TPO) for puppies under 10 months costs $2,500–$4,500. Total hip replacement (THR) costs $5,000–$7,000 per hip and gives the best long-term results for large-breed dogs. These prices include surgery, anesthesia, hospitalization, and initial follow-up.
What are the signs of hip dysplasia in dogs?
Bunny-hopping gait (both hind legs move together when running). Difficulty rising from a lying position. Reluctance to jump, climb stairs, or exercise. Decreased range of motion in the hind legs. Audible clicking from the hip joint. Loss of muscle mass in the thighs. Symptoms often appear between 6–12 months in severe cases or 3–5 years in moderate cases. Some dogs show no symptoms until they're seniors.
Can hip dysplasia be treated without surgery?
Mild to moderate hip dysplasia can often be managed without surgery. The plan typically includes weight management (the single most important factor), joint supplements like glucosamine and fish oil ($20–$40/month), NSAIDs for pain ($30–$60/month), physical therapy and hydrotherapy ($50–$100/session), and controlled, low-impact exercise like swimming. Non-surgical management does not fix the joint but can keep many dogs comfortable for years.
Does pet insurance cover hip dysplasia surgery?
Most comprehensive pet insurance policies cover hip dysplasia surgery if the policy was purchased before any symptoms appeared and the waiting period has passed. Orthopedic waiting periods are typically 6–12 months (some insurers have 14-day waiting periods for orthopedic conditions). Pre-existing hip dysplasia is never covered. If you have a large-breed puppy, enrolling in insurance before 6 months of age gives you the best chance of coverage.

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Data: Nationwide Pet Insurance Claims Data, AVMA U.S. Pet Ownership and Demographics Sourcebook, APPA National Pet Owners Survey, VECCS Emergency Cost Data

Last updated: March 2026

How we calculate this · Pet insurance terms vary. Read the policy carefully, especially exclusions for pre-existing and breed-specific conditions.

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