I found it very interesting that in my area of Virginia, with several large Ortho practices, none of them even mentioned HR as an option. This included two practices that support the Universities and three prefessional sports teams. They talked about getting a THR, said I was a great candidate and would need one eventually, but at 50 recommended that I bite the bullet and gobs of Ibuprophens to wait until I was older.
It was pure luck to stumble across someone who had undergone bilateral HRs in 2003, while the approval process was going on here, and he turned me onto this site and put me in contact with others who had received successful surgeries. It led me to believe that while most people my age or younger who had received THRs had gotten relief, they had been ill-served by a lack of information about this newer option. The doctors or practices do not perform them, so they don't promote them. The "art" of placement, while being mitigated by better procedures and techniques, makes it harder to do and train for. I feel for my friends that got THRs and were never given any information or direction about resurfacing. I believe nearly all would have opted for the latter had they known what I did, and even if they did not, it sure would have been nice to have the choice. Good luck with yours, Curt