The document discusses common intraoperative challenges that may occur during total hip replacement surgery and strategies for managing them. It describes how to anticipate and address potential problems with exposure, acetabular component positioning and fixation, femoral fractures, hip stability, and limb length discrepancies. The key is for surgeons to be prepared for likely issues based on a patient's history and anatomy, and to have a thorough understanding of treatment techniques to optimize outcomes when complications arise.