The purpose of this study is to evaluate the effects of a preoperative teaching program for patients with total hip arthroplasty. The preoperative knowledge level, postoperative exercise and performing daily activity were used as outcome measures. A quasi-experimental design was used with experimental and controls groups with subjects chosen from a medical center in metropolitan Taipei, Taiwan. Total sample size was 80, with 40 for the experimental group and 40 for the control group. After the experimental treatment, descriptive analysis, and t-test were used to analyze collected data. The results were as follows: (1) The experimental group had a significantly higher knowledge level than the control group. (2) The experimental group performed exercise more regularly and correctly than the control group. (3) The experimental group performed daily activities more accurately than the control group. (4) There was no significant difference between the two groups at the first postoperative ambulatory episode and length of stay. Based on the research findings, a pre-admission instruction book with a post-admission videotape program for patients with total hip arthroplasty is recommended.