Metastatic carcinoma to the pelvis and acetabulum is a common and challengi
ng problem. The goals of treatment are to alleviate pain, prevent pathologi
c fracture, and maintain or restore independent ambulation. Operative inter
vention ranges from conventional hip arthroplasty to complex acetabular rec
onstruction that can be technically challenging. With proper patient select
ion, appropriate component utilization and competent surgical technique, go
od to excellent outcomes can be achieved.