Recently the concept of gender-specific joint prosthesis has gained some popularity, but in some surgeons’ opinions it’s more of a marketing gimmick than a necessity. It’s best to discuss this with the orthopedic surgeon pre-operatively. Certainly the full spectrum of joint prostheses should be available to choose from, and indeed this is a primary reason why it makes sense to get these procedures undertaken in centres that perform “high volumes.” This specifically has been shown as a marker of improved outcomes and fewer complications.