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Background and Objectives: We have conducted a retrospective study on patients who underwent total hip arthroplasty. We analyzed spinal anesthesia hemodynamic effects for optimal spinal anesthesia-induced hypotension (SAIH) management. This study explored the perioperative factors related to spinal anesthesia-induced hypotension and the dose of Ephedrine used to ensure hemodynamic stability. Materials and methods: Every patient benefits from information regarding details of the surgery approach and possible intraoperative hemodynamic variations induced by spinal anesthesia (SA). Three hundred twenty-nine patients were included in this study. We compared two groups based on the type of SA: bupivacaine with morphine (group M) and bupivacaine with fentanyl (group F). Results: We observed that the amount of ephedrine dose used correlates with high blood pressure (HBP) in 19 % of cases and with age in 44,1%. Conclusion: Ephedrine use for hemodynamic stability is the key to ensuring safer and more effective perioperative care.