Hi Everyone, Several years ago I healed my back pain through Dr. Sarno's program. Though I had the usual issues of aging (3 bulging discs, stenosis, scoliosis, etc.) the 3 spine surgeons who each ordered MRIs couldn't find any basis for the catastrophic pain I was experiencing. One sent me to Sarno. After journaling and cognitive therapy with a therapist who understood the mind-body connection, my back is pain free. I also learned how to mentally make other stress-related pains go away. However, a new pain has emerged in my hip, which has been progressing for years, and one that I can't vanquish. The head of the Hip Preservation Center at the Hospital for Special Surgery here in New York, who took x-rays and saw my MRI, has told me I need total hip replacement. He said that, due to an extra piece of bone on the ball of the joint, my labrum has almost completely worn away. There is no cushion for the bones and that is causing the severe arthritis and the resulting pain I am experiencing. This pain doesn't feel like the previous TMS issues in my back. It's constant and in the same place all the time -- and steadily getting worse. My previous TMS pains would come and go but didn’t prevent me from doing the physical activities I loved to do. The hip issue has put an end, for the time being, to almost all my activities and I now walk with a severe limp. The pain is so bad that it wakes me up at times through the night. Though Dr. Sarno insisted that almost all chronic pain is psychogenic, even if there are coincidental structural issues at the site of the pain, I do believe there are some issues that are completely structural in nature and need to be treated orthopedically. But at the same time, I want to make sure my current hip problem is not a mind-body issue, that this bone protrusion and lack of a labrum in my hip is not simply coincidental. I don't want to go through hip replacement and a painful recovery period only to find out that the pain is still there because it’s TMS, not a decimated joint. Does this sound like a non-TMS issue? Has anyone experienced this kind of dilemma and is there any advice you can give me on how to make sure before I decide to take the surgical plunge? Many thanks!