The choice of the treatment method in young patients with osteoarthritis secondary to the developmental hip dyplasia is one of the most difficult dilemmas in orthopaedic practice. Currently total cementless hip replacement with metal-on-metal articulation is a routine procedure. Young patients are particularly exposed to the risk of aseptic loosening due to their high activity and long duration of life with implant. Basing on our material, using selected clinical cases, options for treatment of OA secondary to DHD were presented. The paper presents the progress of OA seconary to DHD treated in childhood and its subsequent treatment using intertrochanteric osteotomy without changing the neck-shaft angle, intertrochanteric osteotomy combined with shelf procedures, isolated shelf procedures and periacetabular osteotomies according to Ganz. Both satisfactory results with pain relief for any years so like negative ones with total lack of improvement were shown. Presented options for treatment alternative to THR may be helpful in determining the individual management in young adults.