Total hip arthroplasty (THA) utilization is projected to significantly increase, with primary and revision procedures expected to rise significantly in the coming decades. This chapter discusses the direct anterior (DA) approach for revision THA (rTHA) and its effectiveness in accommodating a range of revision scenarios. The chapter includes optimal patient positioning and surgical techniques for both femoral and acetabular exposure, including the importance of adequate soft tissue releases. Additionally, the DA approach can be used for complex acetabular and femoral reconstructions, including periprosthetic fractures and various osteotomy techniques. The DA approach offers a promising and versatile option for revision THA and continues to gain popularity.