This systematic review and meta-analysis included 32 studies with a total of 1,753 patients undergoing total hip arthroplasty, comparing land-based preoperative and postoperative exercise interventions to usual care or minimal intervention. Pooled outcomes of interest included self-reported physical function, pain intensity, quality of life, gait speed, lower body muscle strength, lower body flexibility, anxiety, hospital length of stay, and adverse events. The results showed that neither preoperative nor postoperative exercise interventions significantly improved self-reported physical function, with low to moderate certainty. There was no meaningful association with hospital length of stay or postoperative hip muscle strength. The findings suggest that supervised preoperative and postoperative exercise interventions may not be necessary for improving patient-reported outcomes in total hip arthroplasty.