We report a case of tuberculous arthritis of the hip in a 42 year old male patient, primarily treated with native Indian medicine followed by antituberculous antibiotic therapy for 3 months. On presentation, he was walking with support and had an antalgic gait pattern. The joint had become arthritic and hence he underwent uncemented total hip arthroplasty. He received antitubercular antibiotic therapy for 12 months postoperatively. At 3 year follow-up there was no evidence of recurrent infection.