Objective To explore the effect of educational and exposure therapy in the patients with kinesiophobia after total hip replacement. Methods Ninety-six patients with kinesiophobia after total hip arthroplasty were divided into control group (n=48) and intervention group (n=48). The control group was given routine nursing intervention, and the intervention group was given education fear exposure intervention. The effect of intervention was evaluated before discharge. Results The scores of numerical rating scale and tampa scale of kinesiophobia in the intervention group were significantly lower than those in the control group (P<0.05 for both), while the scores of harris hip score, general self-efficacy scale and readiness for hospital discharge scale were significantly higher than those in the control group (P<0.05 for all). Conclusion Education fear exposure intervention can reduce the incidence of kinesiophobia in patients after total hip replacement, relieve postope-rative pain, improve self-efficacy and discharge preparation, and promote the recovery of hip joint function.