I am a recent patient of Dr. Brooks and am very satisfied. His 8 year hardware survivorship of 99% is absolutely amazing and it seems he is slightly under recognized in the field. He is as good as they get.
Why even bother experimenting with other hardware such as plastic inserts or ceramic on ceramic which don't yet have the long term track record. Why take the risk. If you want something tried and true from one of the best, well, his results speak for themselves.
I chose him specifically because of his experience (3,000+ BHR surgeries), excellent long term results, and his surgical approach (where he actually cuts you open) and here is why:
The alignment of the acetabular cup is the most critical aspect of the procedure as proper alignment prevents premature wear and impingement issues. Some surgeons choose to open you up in a way that makes recovery much easier, but their view and access to the acetabulum (the pelvis) and thus positioning of the acetabular cup, is more difficult. I would much rather know the surgeon has the best view/access possible, and thus the best possibility of correct placement of the cup, rather than a faster recovery. I could care less about an extra week or two of pain, I care more about continued success 10, 20, 30 years from now. I suspect part of his success, other than his experience, is due in part to his surgical approach.
You may want to double check me on this, but I believe Dr, Brooks uses a surgical approach that favors placement of the acetabular cup as opposed to offering the patient the fastest surgical recovery and I applaud him for this. Favor the procedure and the long term outcome, rather than making compromises so the patient recovers just a little bit faster.
Its all too easy to compare recovery stories on here without knowing the surgical approach and individual variables and think one surgeon should be favored over another simply due to quicker short term surgical recovery and or post surgical pain.
His surgical approach may also help with low back issues due to the tendon he cuts to get into the hip socket. I believe he talks about this in a video somewhere. Having had a low back issues that I believe was due to my bad hips made choosing him a no brainer.