Minimally invasive surgery is a technology that has been seeking breakthroughs in surgery. It is a common goal of both doctors and patients. At present, artificial hip arthroplasty has been in clinical application for more than fifty years, and has been fully affirmed. In recent years, minimally invasive techniques have been applied more clinically. And minimally invasive has the advantages of less bleeding, early postoperative activities and more are accepted by more and more surgeons. However, the current minimally invasive total hip replacement approach is different. This article reviews the approaches and advantages and disadvantages of the minimally invasive artificial hip joint replacements currently used in the clinic in order to provide new ideas for clinical minimally invasive total hip replacement.