The favorable combination of properties of dense, pure Al2O3-ceramics as a material for endoprostheses of the high load bearing joints have been confirmed in more than 4 years of experimental work with different types of animals. During this period Al2O3-ceramic parts for total hip replacement have already been developed and tested as well as the special instrumentation and the technique of the surgical procedure concerned. Based on these experiences a new total hip endoprostheses together with its complete technique for the operation is presented with which an improved alternative for replacements of Weber-Huggler-prostheses is offered and the application of total hip replacements can be extended to patients below 60 years of age.