FHO surgery cost for dogs
FHO (femoral head ostectomy) removes the ball of the hip joint so it can no longer grind. It's one of the more affordable hip surgeries.
Last updated: October 2026 · US prices · 4 sources · see sources
What it costs
| Item | Typical US price | Src |
|---|---|---|
| FHO, national average | $2,791 | [1] |
| FHO, typical range | $2,210 to $5,078 | [1] |
| FHO on owner bills | $1,500–$3,500 | [2] |
Each source measures something a little different: published clinic prices, national averages or real owner bills. Use them to plan, and ask your vet for a written estimate.
What it is
In an FHO, the surgeon removes the head and neck of the thigh bone. Over the following weeks, scar tissue forms a 'false joint' that lets the dog walk without bone rubbing on bone. [3][4]
When vets recommend it
Vets suggest FHO for painful hips from hip dysplasia, hip fractures that can't be pinned, hip dislocations that keep slipping out, and Legg-Calvé-Perthes disease in small dogs. [3][4]
Recovery and aftercare
Rehab matters a lot here. Most dogs start gentle leg use within days, and controlled exercise over the next couple of months builds the muscle that holds the new joint. [3][4]
Medicines vets often use around this treatment: Carprofen (Rimadyl), Gabapentin. We don't list doses; your vet will decide what fits your pet.
What affects the cost
- Which surgery Removing the ball of the joint runs $1,500–$3,500. A total hip replacement runs $3,500–$7,000 or more. [2]
- Your dog’s size Bigger dogs need bigger implants, more anesthesia and a longer surgery. [2]
- Who does it A board-certified surgeon charges more than a regular vet who does hip surgery. [2]
- Where you live Specialty hospitals in big cities charge more. [2]
Ways to save
- Ask a surgeon and a regular vet who does hip surgery The price difference can be $1,000–$3,000. Ask two or three practices for an itemized estimate. [2]
- Ask which surgery is planned, and the price of each The two differ by thousands of dollars. Your surgeon can tell you which suits your dog’s size and hip. [2]
- Ask if rechecks and follow-up X-rays are in the quote They are sometimes included and sometimes $100–$300 a visit. [2]
Common questions
How much does FHO surgery for dogs cost?
FHO, national average: $2,791. FHO, typical range: $2,210 to $5,078. Your vet's written estimate is what counts, since prices vary by clinic, region and your pet's needs.
What is the cost difference between FHO and total hip replacement?
FHO ($1,500–$3,500) removes the ball of the hip joint — a simpler surgery performed by most orthopedic surgeons. Total hip replacement ($3,500–$7,000+) replaces the joint with a prosthetic — a specialist procedure with higher implant costs ($1,500–$2,500 for the prosthetic alone). THR has higher upfront cost but potentially better long-term outcomes for larger dogs.
Does pet insurance cover hip surgery?
Most comprehensive plans cover hip surgery at 70–90% after deductible — if the condition was not pre-existing. Critical: most policies have a 6–12 month orthopedic-specific waiting period. Hip dysplasia diagnosed before enrollment is excluded. A single hip surgery claim ($3,000–$7,000) can pay for years of insurance premiums. Early enrollment is essential for hip-prone breeds (German Shepherds, Labs, Golden Retrievers).
Will pet insurance pay for it?
Many accident-and-illness plans help with treatment like this if the problem isn't pre-existing and any waiting period has passed. Check your policy, and ask your vet for an itemized estimate you can send to the insurer ahead of time.
Related
This page is general information for pet owners, not veterinary advice. Talk to your vet about your own pet.