Knee Replacement Surgery


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Because there can be complications during or after surgery – a knee replacement is NOT the first treatment option –  it’s the LAST option.




Surgeons don’t judge you – instead they judge your referral letter (written by your physician) to determine “if” you need to be seen and “when”.


If your referral letter doesn’t include specific information (that a surgeon is looking for) you may not be offered an appointment.



Things that a surgical referral letter for arthritic knee pain should include;

  1. A knee x-ray report from within the last 12 months that indicates moderate to severe osteoarthritis that correlates with the location of your knee pain. 
  2.  A statement from your physician describing and confirming that you have tried all appropriate pain management options for your health profile, without any improvement in your pain-free function. (ie. over-the-counter pain medications, prescription oral and topical pain medications, joint injections). 
  3. A letter from an experienced orthopaedic physiotherapist confirming that you have participated in a supervised neuromuscular rehab exercise program for at least three months with no improvement in your pain-free function AND states that your physio endorses a surgical consult for a possible knee replacement.
  4. A statement from your physician confirming that you have attempted a weight reduction program in the past year without any improvement in your pain-free function.
  5. Click here and complete an orthopaedic quality of life questionnaire and include it with your referral letter.
  6. A statement from your physician describing your past and current medical status, allergies and medications.


Knee Replacement: An Overview by Dr. Mary O’Connor


Knee Replacement: Dr. Mary O’Connor Discusses the Surgical Procedure

Knee Replacement: Dr. Mary O’Connor Reviews the Rehabilitation and Expectations

What are the risks from surgery?

Surgeon Directory

Joint Replacements

Surgical Wait Times

Private Orthopaedic Surgery