Introduction: Total hip Arthroplasty surgery (THA) is one of the most common and important surgical procedures performed in the orthopedic department. Goal: To audit the results and complications of Total hip Arthroplasty surgery. Study Design: A prospective study. Place and Duration: Department of Orthopedic Mohammad medical college and hospital Mirpurkhas Pakistan for one year from March 2019 to March 2020. Materials and methods: All THA-appointed patients were selected for the study after inclusion or exclusion criteria and after informed consent. Patients with severe osteoarthritis of the knee, a history of prior arthroplasty, bilateral osteoarthritis, unable for follow up, serious surgical contraindications, and mental disorders were excluded from the study. Harris Hip Score (HHS) was used to measure hip physical performance from 0 (bad) to 100 (excellent) points. All patients were observed for six months. The data was collected and analyzed using SPSS version 20.0 with a t-test analysis. Results: A total of 70 patients were evaluated. Out of the 24 (41.4%) were men, and the others were women. The mean age ranged from 56.8 to 66.56 years. The HHS average was 49.69-5 before surgery but improved significantly to 88.02-4.04 in the sixth month after THA (p.0001). Conclusion: According to these studies, THA is associated with significant improvement and satisfactory outcomes in patients, and the rate of complications is low.