This paper presents the development of artificial femoral hip stem forging technology. Femoral hip stem is the key component in the implant of femoral stem joint and after service in its life cycle. Since the slenderness ratio of femoral hip stem is very large, perform design is very important in material savings and cost reduction in the part family of hip stem. The developed forging processes and tool’s design were dedicated for the hip stem and discussed in the paper. The DEFORM has been applied in the forging process simulation and CAD/CAM has also been integrated in the forging die design.