: The anterior minimal invasive surgery (AMIS) technique in total hip arthroplasty (THA) have reported success with early recovery with this approach. Our study is to report the clinical and functional outcomes for AMIS technique in THA. A prospective cohort study was performed on a group of 18 hips from 15 patients who underwent THA with AMIS from February 2015 to May 2020 with at least of two-year follow-up post- surgery. The clinical and functional outcomes were measured with Visual Analog Scale (VAS), Oxford Hip Score (OHS), Harris Hip Scores (HHS), intraoperative blood loss, surgical drain, duration of surgery and duration of hospital stay. The average for pre-operative VAS was 7.5 (SD: 1.09), 6 months’ post-surgery was 0.56 (SD: 1.04) and 2 years’ post-surgery, 0.27 (SD: 0.59). The average of OHS pre-surgery was 20.33 (SD: 8.75), 6 months’ post-surgery was 43.61 (SD: 6.92) and 2 years’ post-surgery, 43.87 (SD:7.23). The average of HHS pre-surgery was 45.0 (SD: 18.23), 6 months’ post-surgery was 90.28 (SD: 18.54) and 2 years’ post- surgery, 90.67 (SD: 20.78). The perioperative parameters measured were average of intraoperative blood loss of 216.7ml (SD: 45.37), average of 160.8ml (SD: 133.55) blood loss in surgical drain, average duration of surgery was 126.1 minutes (SD: 16.49) and mean duration of hospitalization was 5.6 days (SD: 2.23). THA with AMIS gives good clinical and functional outcomes with low complication therefore it is a strong consideration for total hip arthroplasty..