The document describes a new radiographic classification system called IHDI for classifying the severity of hip dysplasia. IHDI uses four grades based on the location of the femoral head center relative to the acetabulum. A study found IHDI had excellent reliability between raters, both experts and trainees, and was more reliable than the existing Tonnis method. IHDI could classify all hips, unlike Tonnis which could not classify 25% of hips that lacked ossification centers. The conclusion is IHDI provides a reliable new method for classifying hip dysplasia severity.