A reamer for use in minimally invasive hip replacement surgical approaches is provided. The reamer spindle includes an offset elongate housing portion that extends from a proximal housing end portion a distal housing end portion. A handle assembly, preferably comprising a durable lightweight material such as carbon fiber that is removably connectable to the housing of the reamer spindle. A reamer head is removably connectable to the distal neck portion and has a surface configured to cut bone.