The aim of this prospective cohort study was to identify the expectations of patients undergoing total hip replacement (THR) and to evaluate a possible relationship between the fulfilment of these expectations and the patient-reported outcomes. The study group comprised 56 patients aged 27-79. The patients filled out the Oxford hip score (OHS) questionnaire and a survey, designed by us, with open and closed questions regarding the patient's expectations. The patients were surveyed twice, i.e. 1-7 days before surgery and 3 months after the surgery. Statistically significant results (p ≤ 0.05) were obtained in the areas: improving the overall health status, gait improvement, reducing pain, independence in daily activities. Results in the aspects: ability to return to work or sport and improving emotional status were statistically not relevant.