Background: A total joint arthroplasty refers to non-biologic replacement of articulating surfaces of a joint. The positioning of the acetabular component is a crucial step of the surgical technique. The position of the acetabular component in the medial-lateral direction influences offset leading to changes in the moment-lever arm of the abductor musculature. The anteversion of the acetabular cup in the sagittal plane and the inclination angle (also known as abduction angle) in the coronal plane are both important determinants of acetabular position. Aim: The present study was conducted to see the effect of acetabular cup orientation and femoral stem placement on the functional outcome in cementless hip replacement arthroplasty exclusively. Methodology: The present open-ended retrospective study was conducted in the