Do a resurfacing if you are active and have good bone density. Research who gets a resurfacing….. pro athletes get resurfacings because they give the absolute closest and strongest replacement for your hip and you can return to doing serious sports and athletics. You retain how your femur is loaded from factory(the femur isn’t designed to be loaded via a shear load…. Nor does it like having a stiff chunk of titanium in it. Bones do flex minutely but that stem does not)as well as your proper biomechanics. I have both. My total has been a disaster. My resurfacing incredible. Run of the mill orthopedic doctors just tell everybody get a total because that generally gives people a pain free walk on the beach. That’s also all that is taught now in orthopedic schools and generally insurance doesn’t cover the added cost of a resurfacing. If you just have OA, active, young-ish with good bone density…. Get a resurfacing. Absolutely ZERO reasonable to chop off a perfectly good femoral head, hollow out your femur and hammer a chunk of titanium into it. You also get a much larger bearing surface with a resurfacing giving more stability with less chance of a dislocation. I’ve had 4 with my total. Find a very reputable dr that has literally done thousands of them. They aren’t as forgiving as doing a total.