118 patients undergoing fast-track total hip arthroplasty (THA) were randomized to receive general anaesthesia (GA), with propofol and remifentanil, or spinal anaesthesia (SA). The purpose of the study was to compare these two anaesthetic approaches in terms of length of hospital stay (LOS), short-term outcomes of well-being, and patient satisfaction at 6 months. Results indicated that general anaesthesia offered more favorable results in terms of length of stay, pain scores from 6 hours after surgery and onwards, dizziness, nausea, and ability to walk 5m. There was also a higher rate of meeting discharge criteria by 14hours on postoperative day 1, though the actual rate of discharge did not significantly differ between groups. There was no significant difference in blood loss, haemoglobin concentration, or in the need for urinary catheterisation.