Orthopedics

30 Questions You Must Ask Your Surgeon Before a Knee Replacement

Oct 30, 2025
8 min read

Before scheduling knee replacement surgery, patients need clear answers about surgical techniques, recovery timelines, implant longevity, and surgeon credentials. Asking 30 critical questions helps you make informed decisions and achieve better post-surgery outcomes with your orthopedic team.

What You Need to Know Before Knee Replacement Surgery

Knee replacement surgery is life-changing. But here's the thing—most patients walk into their surgeon's office without knowing what questions to ask. They get nervous, forget details, and end up with surprises during recovery.

At Germanten Hospital in Hyderabad, we've helped thousands of patients navigate this decision. We see patients come back and tell us: "I wish I had asked my surgeon about that before surgery." This guide changes that for you.

We've compiled 30 essential questions. These questions cover everything from surgeon credentials to recovery timelines. They address the things that actually matter for your health and peace of mind.

Section 1: Questions About Your Surgery Necessity (Questions 1-5)

Ask These Questions First

Before you commit to surgery, you need honest answers about whether you actually need it. This matters more than most patients realize.

Question 1: Do I really need a knee replacement right now?

This question stops many patients in their tracks. Not everyone with knee pain needs surgery. Some people improve with injections, physical therapy, or medications. Your surgeon should explain why surgery is the right choice for your specific situation—not just what your X-rays show.

Question 2: What non-surgical treatments should I try first?

Ask your doctor about corticosteroid injections, viscosupplementation (hyaluronic acid injections), NSAIDs, physical therapy, and weight management. These approaches work for some patients. You deserve to know what other options exist before going under the knife.

Question 3: What happens if I choose not to have surgery?

Your knee will probably get worse over time. You'll have more pain, less movement, and reduced quality of life. But how fast does that happen? Will your other knee suffer because you're limping? These are real concerns worth discussing.

Question 4: Is knee replacement the best treatment for my condition?

You might be a candidate for partial knee replacement instead of total replacement. Partial procedures replace only the damaged compartment. They're less invasive and have faster recovery. If only part of your knee is damaged, ask why your surgeon recommends total replacement.

Question 5: What type of knee replacement will I have—total or partial?

Total knee replacement handles all three compartments. Partial replaces one compartment. Your surgeon should explain which fits your anatomy and damage pattern. Ask for the reasoning behind their recommendation.

Section 2: Questions About Your Surgeon's Experience (Questions 6-10)

Your Surgeon's Track Record Matters

Here's what research shows: surgeons who do more procedures get better results. Patient outcomes are directly tied to surgeon volume. This is not subjective—this is clinical data.

Question 6: How many knee replacements have you performed?

Aim for surgeons with 50+ procedures annually. High-volume surgeons have lower infection rates and better long-term outcomes. This is one of the most important questions you'll ask.

Question 7: How many total knee replacements does your hospital perform each year?

Hospital volume affects outcomes too. Centers performing 200+ procedures yearly have better results. Germanten Hospital performs hundreds of knee replacements annually. High volume means experienced support staff, established protocols, and better complication management.

Question 8: What is your complication rate compared to national averages?

Ask for specific numbers. Infection rates should be 0.4-2% for primary procedures. If your surgeon hesitates to share data, that's a red flag. Good surgeons track their outcomes and know them well.

Question 9: Is your experience more important than the surgical technique you use?

The answer is yes. Experience matters more than technique. A skilled surgeon gets good results with standard approaches. Ask your surgeon to explain their personal philosophy about this.

Question 10: Are you board-certified in orthopedic surgery with fellowship training in joint replacement?

Board certification means your surgeon passed rigorous exams. Fellowship training means specialized education beyond residency. Both credentials matter. Germanten Hospital's surgeons hold these qualifications and stay current with continuing education.

Section 3: Questions About Implants and Surgical Techniques (Questions 11-15)

Understanding Your Implant Options

Your implant is inside your knee for the next 15-20 years. You should understand what's going in your body.

Question 11: What specific implant brand and model will you use for my surgery?

Different implants have different success rates. Some are cemented; others rely on bone integration. Ask why your surgeon chose this specific implant for your anatomy. Request information about its long-term durability data.


Question 12: Will my implant be cemented or cementless?

Cemented implants use bone cement for immediate stability. They're often preferred for older patients. Cementless implants depend on bone ingrowth over months. They're often better for younger, active patients. Your surgeon should explain which suits your age and lifestyle.

Question 13: What materials make up my implant?

Implants use metal, plastic, or ceramic components. Different materials wear at different rates. Metal-on-plastic combinations are most common. Some use ceramic or more advanced materials. Ask about wear rates and longevity for your specific implant composition.

Question 14: Do you offer robotic-assisted knee replacement surgery?

Robotic systems use computer guidance and 3D imaging for precise bone cuts. They reduce tissue damage, decrease bleeding, and improve implant alignment. Better alignment means longer implant life and better function. At Germanten Hospital, we use advanced robotic technology to maximize precision and outcomes.

Question 15: What are the benefits and drawbacks of minimally invasive surgery versus traditional approaches?

Minimally invasive surgery uses smaller incisions. You get less tissue damage and potentially faster recovery. But it requires specialized training. Traditional surgery offers a larger surgical field and may be better for complex cases. Ask your surgeon which approach they recommend for your specific situation and why.

Section 4: Questions About Risks and Complications (Questions 16-20)

Understanding What Could Go Wrong

Every surgery carries risks. Good surgeons discuss these openly.

Question 16: What are the main risks and possible complications?

Common complications include infection (0.4-2% for primary surgery), blood clots (DVT), stiffness, implant loosening, and rarely, nerve or blood vessel injury. Your surgeon should explain each one and how often they occur in their practice.

Question 17: How do you prevent blood clots after surgery?

Blood clots are serious. Without prevention, up to 80% of joint replacement patients develop clots. Your surgeon should discuss anticoagulant medications (blood thinners), compression stockings, pneumatic compression devices, and early mobilization. Ask how long you'll take blood thinners and what warning signs to watch for.

Question 18: What measures prevent surgical site infections?

Infections are rare but serious. Ask about antibiotic timing before surgery, surgical site preparation with antimicrobial agents, sterile surgical technique, and post-operative antibiotics. Germanten Hospital follows strict infection prevention protocols because we take this seriously.

Question 19: What is your hospital's infection rate for knee replacement?

This is public information in many cases. Compare your surgeon's rates to national averages (0.4-2%). If rates are higher, ask why and what improvements are planned.

Question 20: What is the risk of nerve or blood vessel damage during my surgery?

This risk is less than 1% for nerve injury and very rare for blood vessels. But you should know it exists. Ask your surgeon about their experience with these complications and how they manage them.

Section 5: Questions About Implant Longevity and Revision Surgery (Questions 21-25)

How Long Will Your New Knee Last?

This is the million-dollar question. Most patients want to know: will this implant last my lifetime?

Question 21: How long will my implant last?

Average lifespan is 15-20 years. But here's the real data: 82.3% of knee replacements last 25 years. Some last 30+ years. Your surgeon should explain why their implants perform well and what factors affect longevity in your specific case.

Question 22: What factors affect how long my implant will work?

Your age, weight, activity level, and post-operative compliance all matter. Younger patients have higher revision rates because they live longer with their implants. Overweight patients stress implants more. Active patients with high-impact activities may accelerate wear. Ask your surgeon how your specific situation affects longevity expectations.

Question 23: What happens if my implant wears out or fails?

You'll need revision surgery. This is more complex than the first surgery. Recovery takes longer. Success rates are still good (78-90% for mechanical failures), but complications are more likely. Your surgeon should explain this reality.

Question 24: How likely am I to need revision surgery in the future?

About 20% of patients need revision within 25 years. Younger patients have higher rates. Male patients statistically need more revisions. Ask where you fall in this spectrum based on your age and activity level.

Question 25: What is the success rate of revision surgery if I need it?

Two-stage revision for infection has 78-90% success rates. Mechanical failures have better outcomes. But each revision increases future revision risk. Your surgeon should discuss this so you understand long-term expectations.

Section 6: Questions About Recovery and Rehabilitation (Questions 26-30)

What Happens After Surgery Matters More Than You Think

Most patients focus on the surgery itself. Recovery is actually where outcomes are won or lost.

Question 26: What will my pain level be after surgery, and how will you manage it?

Expect moderate, manageable pain initially. Pain management uses multiple approaches: medications (opioids short-term, NSAIDs after 7 days, acetaminophen), nerve blocks, ice, and compression. Ask your surgeon about their pain management protocol and when you can expect improvement.

Question 27: How long will I stay in the hospital?

This varies. Same-day discharge is possible with strong home support. Most patients stay 1-3 days. Length depends on age, overall health, and home situation. Ask what discharge criteria your surgeon uses.

Question 28: What type of physical therapy will I need?

Physical therapy is non-negotiable for good outcomes. Expect 6-12 weeks of regular therapy with home exercises. Ask how many weekly sessions you'll need, what the goals are (range of motion, strength, stability), and what home exercises you'll do daily.

Question 29: How much help will I need at home during recovery?

Expect to need significant help for 2-4 weeks. Help includes bathing, dressing, meal preparation, medication management, and household tasks. Ask your surgeon to help you plan for this. If you live alone, this becomes critical.

Question 30: When can I return to driving, work, and normal activities?

Timelines matter for planning. Walking normally usually takes 4-6 weeks. Driving requires good strength and pain-free motion (typically 4-6 weeks if you're off strong pain medications). Desk work: 4-6 weeks. Active jobs: 6-12 weeks. Full recovery: 3 months. Get specific timelines for your personal activities.

Why Germanten Hospital Stands Out for Knee Replacement in Hyderabad

Choosing the right hospital and surgeon is as important as the surgery itself.

Germanten Hospital has built a reputation as the best hospital for knee replacement in Hyderabad for several reasons. Our orthopedic team includes highly experienced knee replacement surgeons in Hyderabad who perform hundreds of procedures annually.

Our team consists of the best knee replacement doctors in Hyderabad. They have board certification, fellowship training, and years of specialized experience. They use robotic-assisted technology and minimally invasive techniques. They track outcomes obsessively and stay current with latest research.

For patients seeking knee replacement surgery in Hyderabad, we offer comprehensive care from initial consultation through recovery. We discuss all 30 questions on this list. We don't rush decisions. We explain options clearly.

The best knee replacement hospital in Hyderabad is one where surgeons listen to patients, explain complications honestly, and prioritize long-term outcomes. That's Germanten Hospital.

Taking the Next Step

You now have 30 critical questions to ask your surgeon. Write them down. Bring them to your consultation. Take notes on the answers. Good surgeons welcome these questions because they know educated patients have better outcomes.

Knee replacement is a big decision. But it's also one of the most successful surgeries in medicine. Seventy-five percent of patients report excellent pain relief and improved function. You want to be in that 75%.

The questions you ask today determine your experience tomorrow. Ask them all. Get clear answers. Then make your decision with confidence.

If you're considering knee replacement surgery in Hyderabad, schedule a consultation at Germanten Hospital. Our team will answer every question on this list and more.

Dr. Mir Jawad Khan

Germanten Hospital

Dr. Mir Jawad Zar Khan is the Chairman and Managing Director of Germanten Hospitals, Hyderabad. With over 25+ years of clinical experience, he has performed thousands of orthopedic procedures, combining advanced surgical technology with patient-focused care. Dr. Jawad is committed to restoring mobility, relieving pain, and improving quality of life through evidence-based treatments, innovation, and compassionate care.