Mechanical strength and biocompatibility are considered the main prerequisites for materials in total hip replacement or joint prosthesis. Noninvasive surgical procedures are necessary to monitor the performance of a medical device in vivo after implantation. To this aim, simultaneous Gd and Dy additions to the ZrO-SiO binary system were investigated. The results demonstrate the effective role of Gd and Dy to maintain the structural and mechanical stability of cubic zirconia ( c-ZrO) up to 1400 °C, through their occupancy of ZrO lattice sites. A gradual tetragonal to cubic zirconia ( t-ZrO → c-ZrO) phase transition is also observed that is dependent on the Gd and Dy content in the ZrO-SiO. The crystallization of either ZrSiO or SiO at elevated temperatures is delayed by the enhanced thermal energy consumed by the excess inclusion of Gd and Dy at c-ZrO lattice. The addition of Gd and Dy leads to an increase in the density, elastic modulus, hardness, and toughness above that of unmodified ZrO-SiO. The multimodal imaging contrast enhancement of the Gd and Dy combinations were revealed through magnetic resonance imaging and computed tomography contrast imaging tests. Biocompatibility of the Gd and Dy dual-doped ZrO-SiO systems was verified through in vitro biological studies.