Shoulder replacement: Is it a major surgery?

Shoulder replacement surgery is a significant procedure designed to relieve pain and restore function in patients with severe shoulder arthritis or injury. While it is considered major surgery, advances in surgical techniques and post-operative care have improved recovery times and outcomes.

What does shoulder replacement surgery involve?
Damaged parts of the shoulder joint are removed, and replaced with artificial components. There are different types of shoulder replacement, including:
- Total shoulder replacement – The entire joint is replaced with a metal ball and a plastic socket.
- Partial shoulder replacement (hemiarthroplasty) – Only the ball (humeral head) is replaced, while the natural socket is preserved.
- Reverse shoulder replacement – The placement of the ball and socket is reversed to improve stability, often used for patients with severe rotator cuff damage.
How major is shoulder replacement surgery?
Shoulder replacement is classified as major surgery because it involves:
- A hospital stay that usually lasts one to three days.
- General anaesthesia or regional anaesthesia with sedation.
- A recovery period that may take several months, including physical therapy.
- Potential risks, such as infection, nerve injury, or implant complications.
What is the recovery process like?
- Immediate post-surgery – Patients typically wear a sling for several weeks to protect the joint.
- Rehabilitation – Physiotherapy is essential to regain strength and mobility.
- Long-term recovery – Most patients experience significant pain relief and improved function within six months, though full recovery may take up to a year.
Is shoulder replacement worth it?
For patients with severe pain and limited shoulder movement, shoulder replacement can greatly improve quality of life. While it is a major surgery, advances in medical technology and rehabilitation mean that many patients regain good shoulder function and experience long-term pain relief.

