Total knee replacement is one of the most challenging knee procedures performed to relieve pain and restore function in severely diseased knee joints. During the surgery, the knee surgeon removes the damaged bone and cartilage from the thighbone, shinbone, and kneecap and replaces it with an artificial joint. Typically, total knee replacement is performed to relieve pain caused by osteoarthritis. In athletes, total knee replacement can be the best treatment for severe injuries to the knee. Recently, Dr. Tehrany had a patient who required a total knee replacement. Charles is a 62-year-old gentleman with end-stage osteoarthritis of the left knee. Unfortunately, conservative treatment including injections, physical therapy, activity modification, and weight loss failed to restore his knee health. During the appointment, Dr. Tehrany thoroughly examined Charles’ knee, hoping to find a less invasive solution. However, Charles’ pain, his limited range of motion, mobility, and performance demanded total knee replacement as a solution that will provide long-term benefits. When dealing with complex and open surgery such as knee replacement, it’s crucial to help patients understand the surgery and know as many details as possible. Dr. Tehrany knows that honest and detailed communication builds trust. Therefore, he took as much time as Charles needed to help him feel comfortable with the knee surgery. On the day of the surgery, Charles was confident that he was in good hands. However, he was surprised to learn that a surgery that complex can be a smooth experience. During the surgery, Dr. Tehrany used the following implants: Femur size, tibia size E, polyethylene 12mm, patellar button 32mm in diameter, and Zimmer Persona components. Thrilled with Dr. Tehrany’s efforts, dedication, and professionalism, Charles was happy to do a video and share his gratitude and appreciation to Dr. Tehrany.