Background:Recently, surgeons introduced a minimally invasive modification on the classic posterolateral approach (PLA) in total hip arthroplasty (THA): the direct superior approach (DSA). We investigated the association between surgeon’s experience and the risk of early revision of the DSA in primary THA, using data from the Dutch Arthroplasty Register (LROI).Methods:We retrieved all primary THAs performed using the DSA in 4 hospitals between 2016 and 2022 ( n = 1551). Procedures were sorted in 5 groups using the date of operation and number of previous procedures per surgeon: 1–25; 26–50; 51–75; 76–100; >100. Subsequently, data from different surgeons were pooled together and the risk of revision was calculated via a multilevel time-to-event analysis.Results:The overall revision rate was 1.5% after a mean follow-up of 2 years. Patients from the 1–25 group had comparable risks of revision compared to patients in the >100 group (hazard ratio [HR] 1.0 [CI, 0.3–3.2]). The risk for patients in groups ...