The results of 64 operations to correct paralytic dislocation of the hip in children with myelomeningocele (MMC) were reviewed. Innominate pelvic osteotomy was combined with intertrochanteric femoral osteotomy and a muscle transfer. The mean follow-up period is 4 years 4 months. The results show that permanent bony stability of the hip joint can be achieved with a combination of these surgical procedures. Because this surgical treatment leads to no true improvement in functional ability, use of orthotic devices was not decreased.