Total hip replacements (THR) have increased dramatically in the past decade as a result of an expanding elderly population. In order to keep pace with the increasing surgical numbers, rehabilitation continues to optimize its treatment protocols to accelerate functional improvements and shorten discharge timelines. Fascial manipulation (FM) is a manual therapy approach that focuses on mobilizing specific points of deep muscular fascia to improve outcomes of pain, range of motion and functionality. Due to the effectiveness FM has shown in other populations, the authors investigated its role as a post-operative treatment modality in patients who underwent a THR. The authors found that those patients undergoing a protocol that incorporated FM had a statistically significant improvement in functional mobility as well as pain.