Revision surgery following total hip replacement (THR) has become increasingly frequent over the past decade. Clinical success with revision THR has been inferior to primary surgery in both cemented and cementless reconstructions. Significant improvements in the clinical success of cemented revision THR have been accomplished using modern techniques and implants. Although cementless revision has become increasingly popular, an 80% to 90% success rate can be achieved with cemented revision THRs at medium-term followup. In this article, the authors present preoperative evaluation, surgical techniques of cemented acetabular and femoral revisions, and clinical results of several large series.