Currently, younger patients make up the fastest growing group of total hip arthroplasty (THA) patients; however, American Academy of Hip and Knee Surgeons (AAHKS) surveys have demonstrated that younger patients report decreased satisfaction and less frequent return to high-level activities than older THA patients. Surface replacement arthroplasty (SRA) is a potential treatment option for this group of younger, high-demand, hip arthroplasty patients.