Abstract: The patient with hip replacement becomes a chronic patient who require a successful recovery post surgery. Successful recovery requires not only proper surgical technique but also effective pre and postoperative nursing care to improve their activity of daily livings and enhance their quality of life. Purpose: To determine the effect of pre and postoperative nursing intervention on activities of daily livings and quality of life among patients undergoing hip replacement. Setting: The study was conducted at orthopedic departments at Menoufia University and Shebin El-Kom teaching hospitals. Sampling: A consecutive sample of 80 adult patients who were planned for hip replacement surgery was assigned randomly and alternatively into two equal groups, 40 patients for each group. Instruments: Two instruments were used for data collection: Structured interview questionnaire and hip disability and osteoarthritis outcome score. Results: Pre intervention about  half of both study and control groups had sever hip disability related function and activity of daily living scores (55.0 % and 57.5% % respectively) that were highly significantly improved among study group to none complains at follow up period (60.0% of study group compared to 5.0% of control group for function and activity of daily living score respectively). Also pre intervention about half of both study and control groups had sever hip disability related quality of life score (47.5 % and 52.5% respectively) that were highly significantly improved among study group to none complains at follow up period (72.5% compared to 7.5% for quality of life score respectively) .Conclusions: Pre and postoperative nursing intervention has a positive impact on improving activities of daily living and quality of life among patients undergoing hip replacement. Recommendations: Supervised health teaching regarding pre and postoperative care should be given for hip replacement patients to improve their activities of daily livings and quality of life.