Mako Robotic partial knee replacement – 1 of only 5 sites that offer this in upstate NY. Most experience with direct anterior hip replacement in all of upstate New York. I perform 600-700 surgeries per year. Ten years of computer navigation experience. The largest number of computer navigated total knees in NYS and one of the largest in the nation. Number 3/1800 surgeons in state for total joint volume First adopter of Stryker Triathlon Knee-lowest revised total knee system in multiple joint registries worldwide. Also designed to accommodate for size variances in men and women’s knees. Dedicated Anesthesia staff providing superior spinal and general anesthesia. Pre-emptive pain management protocol that starts before surgery. Orthopedic dedicated OR rooms and staff which decreases perioperative complications. Orthopedic total joint dedicated 20 bed unit with orthopedic trained nursing and physical therapy staff. (97% with excellent patient satisfaction) One of first hospitals in country to incorporate Blood conserving tranexamic acid – now becoming a national trend. Early adoption of sleep apnea evaluation protocol to decrease risk of perioperative mortality-likely to become the national standard within next three years. Early adoption of standardized infection prevention protocol with total joints. (skin decolonization, MRSA screening, antibiotic dosing, antimicrobial dressings) Same day and overnight hip replacement No hip precautions. Earlier return to work and normal activities.