Total hip arthroplasty (THA) is commonly done to improve quality of life of patients. It is often associated with intense postoperative pain that may delay rehabilitation. So, an effective postoperative analgesia strategy is important in the recovery period. It is important to communicate with an orthopaedic surgeon to decide for the most suitable analgesia strategy in patients undergoing THA. If postoperative pain is managed well, it will reduce overall hospital stay. A balanced analgesia technique involving a combination of drugs and regional blocks is preffered. The commonly used regional anesthesia techniques include epidural analgesia, lumbar plexus block, lumbar rector spinae plane block, quadratus lumborum block, fascia iliaca block, PENG block, femoral nerve block, lateral femoral cutaneous nerve block, Ilioinguinal, ilio-hypogastric, etc. Nowadays motor sparing blocks are preferred for an early ambulation after surgery. We have discussed the postoperative analgesia for total hip replacement in this chapter.