Advances in prosthetic design, components, materials and fabrication techniques allow patients who have the ability to walk on uneven surfaces and at variable cadences to function at a higher level than traditionally thought. Design changes have made the socket more comfortable and allow patients to wear their prostheses throughout the day. The prosthetic components (hip-knee) optimize gait stability and efficiency and reduce the risk of falling. These advances also help patients with hip disarticulation or hemipelvectomy-level amputation stabilize their prostheses and improve their initiation of gait and pelvic rotation. All these factors contribute to a more efficient, natural gait.