Rheumatoid arthritis is multisystem disease affecting synovial joints at most. Females are the largest victims. Usually it affects the peripheral joints but weight bearing joints are also not spared. Rheumatoid hip is one of the presentations. Here we present a case of young girl with bilateral rheumatoid hip. She was having bilateral avascular necrosis of femoral heads rendering her crippled to perform activities of daily living along with severe pain. Girdle stone procedure was performed followed by physiotherapy. She progressed well and was able to walk with stick and perform ADL’s with ease. Keywords: Rheumatoid hip, girdle stone procedure, hip arthroplasty, avascular necrosis, lower extremity function scale,