Most tuberculosis infections of the musculoskeletal system occur in the spine, hip or knee with Hip tuberculosis (TB) constituting 15%-20%. Highest rates of the tuberculosis cases in Indonesia occur in Papua. Neglected cases or delayed treatment can make management challenging. We present a 47 years old Papuan man who presented with progressive destructive TB of the hip due to lack of resources and access to adequate healthcare. He underwent a limited duration of anti-tuberculosis regimen and subsequently had debridement, girdlestone, and cemented total hip arthroplasty (THA) of the affected hip. From this case we conclude that hip arthroplasty in tuberculous arthritis of the hip with compliant administration of anti-tuberculosis drugs is a safe procedure with either cemented or cementless implants.