Total hip replacement is an operation done to relieve pain and restore function and it is one of the most successful health interventions of the last century. Orthopaedic experience with cemented hip arthroplasty extends to over 50 years and in that time refinement of techniques and implants has led to components that offer the best long-term survivorship in almost all patients, as evidenced by research and registry data. However, long-term revision rates are just one of their advantages because cemented components also offer important benefits in their ability to restore patients' anatomy, most importantly offset, leg length and component position as independent variables. The fine control that they offer to surgeons helps them to tailor each operation to the individual's needs and thereby achieve the best result possible for every patient. In the long-term the presence of a well-fixed cement mantle offers the opportunity for cement-in-cement revision if further surgery is required. Components can be considered to be modular at the prosthesis/cement interface and the technique allows a surgeon to revise and return a patient to their primary state.