Dr. Hulst has replaced both of my hips. One in 2015 and the other in 2016. I was impressed with his professionalism and obvious care for the well being of his patients... I live in another state but traveled to Washington twice for him to do my surgery. I was treated with great respect all the way and he really listens to what I am saying and asking. I completely and unreservedly recommend Dr. Hulst for any joint replacement.