The mini-incision exposure can be used in most primary total hip arthroplasty (THA) patients. As the surgeon begins to perform mini-incision THA, one can gradually shorten the skin incision with improved confidence and skill. A true mini-incision THA (2.5"-3.5") requires specialized retractors and instrumentation, such as the mini-incision set. Following the outlined procedure not only results in a smaller incision, but also transects less muscle and tendon. This less invasive approach can result in a shorter stay, less pain, fewer rehabilitation transfers, quicker recovery, and better cosmesis. All of these combine to produce a more satisfied THA patient.