I'm 6'2" and 270#, and the surgeons at UC Davis didn't hesitate for one second to recommend the resurfacing over a total replacement. For one, it preserves the femoral head, therefore allowing a total replacement down the road, should that become necessary. I'm 44 years old, and still maintain a fairly active leisure life, and my job is very physical, so the Birmingham made the most sense. I've been able to bend my leg past 90 degrees since about the 90-day mark, post surgery, and aside from some muscle pain and soreness, I've had zero problems. I'm coming up on the one-year mark (5/29) and I truly couldn't be happier with the way things have turned out. The resurfacing gave me my life back, as I'm sure a total would have.