Total hip arthroplasty (THA) is a surgical technique for treating femoral bone necrosis, hip dysfunction, osteoarthritis and other diseases, and the most of the patients are elderly. In the case of THA, elderly patients frequently experience increased sensitivity to the outside world as a result of excessive pain perception during joint prosthesis adaptation. This condition is known as postoperative kine- siophobia, which increases the risk of disability and degrades the quality of life. Clinical staff now lacks knowledge about and attention to ki- nesiophobia, making it difficult for them to recognize it and create timely solutions. This article reviews the concept, causes, adverse effects, influencing factors, measurement tools, and interventions of kinesiophobia in elderly patients who undergo THA to provide a reference for clinical workers.