What to Expect from a Total Hip or Knee Replacement

Hip and knee replacements are among the most common and successful orthopedic surgeries performed today. Whether caused by arthritis, injury, or long-term wear and tear, these procedures can restore mobility, reduce pain, and significantly improve quality of life. If you are preparing for a total hip or knee replacement, it’s natural to feel a mix of relief and uncertainty. Understanding what to expect before, during, and after surgery can help ease concerns and set you up for a smoother recovery.

Before Surgery: Preparing Your Body and Home

Your orthopedic surgeon will likely recommend pre-surgical steps to optimize your outcome:

  • Medical evaluation: You may need lab tests, imaging, or a physical exam to ensure you’re healthy enough for surgery.

  • Prehab exercises: Strengthening the muscles around the joint before surgery can speed recovery.

  • Medication adjustments: Some medications, especially blood thinners, may need to be paused.

  • Home preparation: Arrange your living space to avoid stairs, install safety bars if needed, and create a comfortable recovery area.

The Day of Surgery: What Happens in the Hospital

On the day of your procedure, you’ll meet the surgical team and review the plan. Anesthesia—either general or spinal—will keep you comfortable. The surgery typically takes 1–2 hours. Afterward, you’ll spend time in a recovery area before being moved to your hospital room.

Key things to know:

  • Pain control: Medication, nerve blocks, or other strategies will be used to manage discomfort.

  • Early movement: Physical therapists often encourage standing or walking the same day or the morning after surgery.

  • Hospital stay: Many patients go home within 1–3 days, though some may be discharged the same day with outpatient programs.

Early Recovery: The First Few Weeks

The first weeks after surgery are focused on healing and regaining function. Expect:

  • Swelling and stiffness: These are normal and gradually improve with movement, ice, and therapy.

  • Physical therapy: A personalized program will help restore range of motion and strength.

  • Assistive devices: You may use a walker, cane, or crutches at first.

  • Wound care: Keeping the incision clean and dry is essential to prevent infection.

Long-Term Recovery and Expectations

Most people notice major improvements within 6–12 weeks, though full recovery can take 6–12 months. With commitment to physical therapy and activity modifications, patients often return to daily activities without significant limitations.

  • Hip replacements: Many patients resume walking, swimming, golfing, and cycling comfortably.

  • Knee replacements: Kneeling may remain challenging, but walking, hiking, and low-impact exercise are usually possible.

Potential Risks and How They’re Managed

Like any surgery, joint replacement carries some risks, such as infection, blood clots, or implant issues. Your surgeon will take steps to minimize these risks and monitor your recovery closely.

Final Thoughts

A total hip or knee replacement is a life-changing procedure that can help you regain independence and reduce chronic pain. By understanding what to expect before, during, and after surgery, you’ll be better prepared for the journey ahead. Clear communication with your surgical team, active participation in rehabilitation, and patience during recovery are key to a successful outcome.