A one-year-old male castrated German Shepherd dog was presented to the Orthopedic Surgery service in August 2013 for evaluation of bilateral hip laxity. The dog was an active service dog for a Vietnam War veteran with diabetes and post-traumatic stress-disorder and therefore needed appropriate treatment to preserve the function of his pelvic limbs as the owner utilized the dog for physical support when standing or rising. The patient had no significant historical health concerns. A general physical exam revealed an apparently healthy dog. An orthopedic exam revealed pain and laxity on palpation of both hip joints, and radiographs revealed total hip luxation of both joints. A diagnosis of severe hip dysplasia was made, and a plan was formulated to correct both hips via total hip replacement (THR) over the following seven months. The left hip was replaced via a routine THR in November 2013, and the patient had no complications following the procedure. The right hip was replaced via a routine THR in March 2014. The patient remained non-weight bearing on the right pelvic limb two weeks post-surgery, and radio graphs revealed a caudal coxofemoral luxation. The patient was taken back to surgery, and the acetabular cup implant from the previous total hip replacement was removed, a new, larger, acetabular cup implant was placed, and the femur was reduced until the head inserted into the new acetabular cup. The patient did well following the corrective surgery until radiographs at the fifteen-week recheck revealed loosening of the implant in the right femur. At this same recheck, a culture of a skin scraping from the patient's inguinal region came back positive for two multi-drug resistant Staphylococcus species. The implant loosening was attributed to infection, and three weeks later, the patient underwent an explantation of the right hip. This paper will discuss pertinent hip anatomy, etiology, diagnosis, and treatment options with potential complications of hip dysplasia in dogs.