Surgical Options:
Juvenile Pubic Symphysiodesis (JPS) - This surgery is performed on puppies under 20 weeks of age, generally when the puppy is neutered or spayed.   It shows great promise as a preventive measure, by altering the pelvic growth.  This surgery has a short recovery period, but is generally done before a puppy can be diagnosed.  However, once you’ve lived with hip dysplasia, it may prove to be worthwhile for a puppy considered at risk for developing hip dysplasia.

Dorsal Acetabular Rim (DAR) – This surgery consists of bone grafts being taken from other areas of the pelvis to build up the rim on the hip socket (cup).  The idea is for the femoral head to have a deeper socket to fit into.  It's relatively new, so there is some question as to how a dog will do into old age - there aren't many older dogs that have had it done.

Triple Pelvic Osteotomy (TPO) -  This surgery involves cutting the bone around the hip socket and repositioning the socket for a better fit with the femoral head.  The bones are plated back together so they heal in the correct alignment.  This surgery is performed on young dogs before they have finished growing.

Total Hip Replacement (THR) – This surgery consists of replacing the hip joint similar to a human hip replacement.  A new cup is usually attached to the hip bone, and the femoral head is cut off the leg bone and an implant is inserted into the leg bone.  This surgery is done on more mature dogs that have finished growing.  Due to the size of the implants, this surgery is done on larger dogs.  Previously, all artificial hip components were cemented in place.  More recently, cementless hip replacements are being performed. 

Femoral Head & Neck Ostectomy (FHO) – This surgery consists of removing the femoral head of the leg bone to eliminate the pain of hip dysplasia.  The dog’s body will then develop scar tissue to create an artificial hip joint. Long considered only appropriate for smaller dogs or as a salvage operation for a failed THR, it has become increasingly popular for larger dogs.

Non-Surgical or Conservative Management Option
Many people choose to have surgery performed on their dog only as a last resort, or they want to delay it as long as possible.  Some dog owners are able to manage their dog’s hip dysplasia with supplements, acupuncture, chiropractic care, exercise and weight management.  Sometimes, the puppy will show signs of pain from hip dysplasia, and once it is done growing and the muscles are fully developed, they seem to “go into remission”, developing signs of hip problems again as the dog ages.  Surgical options are still available to you if the conservative path is unsuccessful.

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