Minimally invasive joint arthroplasties have gained in popularity this decade for multiple reasons. Many different authors have described markedly different approaches to minimally invasive hip arthroplasties, and there is no consensus for a single definition of what is minimally invasive. The basic premise of minimizing soft tissue disruption would be best met by going through intermuscular and internervous planes to do the procedure. In hip arthroplasty, the direct anterior approach to the hip is the only such approach. This article will describe this technique using a standard operating room table rather than using a specialized fracture table.