Background: With increasing orthopaedic expertise in the rural centres, there has been the development of tertiary care centres in rural areas wherein a high-end surgery such as hip joint replacement can be done. Bipolar hemiarthroplasties, performed at rural teaching set up are evaluated for comparison of similar surgeries performed at sophisticated, high-end corporate hospitals. Objective: To compare outcome at the rural teaching setup, with large series at a high-end teaching or corporate hospitals from published literature. It also would enable us to recognize short-comings at tertiary teaching set up in rural areas, and innovation to circumvent these shortcomings and evaluate and access the benefits of these alternative resources and innovation for a better bipolar hip arthroplasty outcome. Methods: In the present study 30 cases of bipolar hemiarthroplasty were taken. Clinical outcome and functional results were evaluated by using the Harris hip score. Results: Out of 30 cases 11 were females and 19 males. With most common indicators are fracture neck femur and avascular necrosis of femoral head where the acetabular surface was not involved. We have evaluated the functional outcome by Harris hip score at the final follow up period. We have achieved 80% of excellent results as the functional outcome of the patient. Conclusion: The clinical and functional outcome of Bipolar hemiarthroplasty done at our rural teaching set up, with experienced surgeons, adequate manpower etc. are comparable to the high end sophisticated established urban teaching centres and corporate hospitals. We have used Harris Hip Score to analyze the results and 90% had good results.