In 2012, there were new advances in the diagnosis and treatment of femoral head necrosis. The main ones can be summarized as follows Non-surgical treatment based on Chinese medicine has regained importance and become the main treatment method due to its significantly higher success rate, as well as being painless, non-invasive and with few side effects, and is welcomed by more and more patients from all over the country. This is firstly due to the fact that with the continuous accumulation of clinical experience, the level of diagnosis has been further improved, the overall and local grasp of the disease is more accurate, and the cases are properly selected to avoid blindness; secondly, the treatment and rehabilitation program has been optimized; thirdly, the good experience of peers has been learned through enhanced communication. According to the incomplete statistics, we have treated nearly 272 cases and 453 hips with Chinese medicine non-surgical treatment throughout the year, including 104 cases of hormonal femoral head necrosis and 200 hips, 116 cases of alcoholic femoral head necrosis and 204 hips, 29 cases of traumatic femoral head necrosis and 29 hips, and 23 cases of idiopathic femoral head necrosis and 20 hips. 76% of ARCO stage 3 cases and 24% of stage 2 cases, clinical efficacy: very good 56%, good 32%, improved 8%, poor 5%. 2. Minimally invasive compression-supported osteotomy is more mature and has more stable efficacy, with 25 cases and 32 hips completed in a year, and the expected success rate is more than 90%. 3. For advanced severe femoral head necrosis, artificial hip arthroplasty including new generation ceramic interface is widely used for treatment, with excellent efficacy and shorter operation time, less trauma, faster postoperative recovery and fewer complications. The recent results are very positive, and the expected long-term results are also excellent. In general, the hospitalization time is about one week, and 3 to 6 weeks after surgery, the patient can walk short distances on foot or work in the office, and the number of hip replacement surgeries completed in a year continues to be the highest in China. He Wei, Department of Orthopedics, The First Affiliated Hospital of Guangzhou University of Chinese Medicine