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Surgery day

What to expect on hip or knee replacement surgery day.

Surgery day should feel organized. Patients need to understand the sequence: arrival, check-in, team confirmation, anesthesia discussion, procedure, recovery room, early mobility, and discharge planning.

Know the flow of the day before arrivingUnderstand why the team repeats identity, procedure, and safety checksPrepare for early walking or mobility when appropriateLeave with instructions, medications, contact plan, and follow-up timing

Recovery principles

A clear plan beats a crowded packet.

The PBJ Rapid Recovery System gives patients a practical way to prepare before surgery, understand the early recovery window, and know when to call for help.

01

Safety checks before anything starts

02

Anesthesia and comfort plan explained in plain language

03

Discharge readiness based on safety, support, and instructions

Chapter guidance

What patients need to understand.

01

Before the procedure

Expect check-in, vitals, medication review, site confirmation, anesthesia discussion, and repeated safety questions. Repetition is intentional and protective.

  • Bring requested documents
  • Ask last-minute questions before sedation
  • Confirm ride and caregiver information

02

After the procedure

Recovery room goals may include comfort, nausea control, circulation checks, safe movement, eating or drinking when allowed, and discharge instructions.

  • Early movement is guided
  • Pain control supports safe movement
  • Ask how to use ice, compression, elevation, and walking aids

03

Leaving the facility

Before leaving, know medication instructions, wound care, activity limits, warning signs, contact information, and the next appointment.

  • Do not drive unless cleared
  • Keep instructions accessible
  • Call if instructions conflict or are unclear

Patient checklist

Make the next step concrete.

A patient should finish each chapter knowing what to do next, what is normal, and what should prompt a call to the office.

1

Arrive with ID, insurance card, medication list, and paperwork

2

Confirm procedure, side, allergies, medications, and ride information

3

Ask how pain, nausea, swelling, and blood clot prevention will be handled

4

Review dressing, shower, walking, and activity instructions

5

Know who to call after hours and what symptoms are urgent

Common questions

Fast answers, careful claims.

Does this replace my office instructions?+

No. These chapters explain the recovery process in plain language. Follow the written instructions from Dr. Morton and the care team.

Should I call if I am unsure?+

Yes. If symptoms are worsening, confusing, or listed as warning signs, call the office or seek urgent care based on the situation.

Will every patient recover on the same timeline?+

No. Recovery depends on diagnosis, procedure, health, support, travel, and complications. Use the timeline as guidance, not a guarantee.

Ready for a plan?

Start with a focused orthopedic consultation.

Bring your symptoms, imaging, records, medication list, and goals. The first win is understanding what is causing the pain and what path is realistic.

Recognition

Awards, focused training, and Hawaii-specific care planning help patients compare trust before they schedule.

US News High Performing in Hip and Knee Replacement
2025 Top Doctors
Best of West 2023
40 Under 40
First Hawaii orthopedic surgeon fellowship-trained in robotic joint replacement
ACGME-accredited fellowship training in hip and knee replacements
Minimally invasive, muscle-sparing approaches when appropriate
Concierge-style coordination for travel and neighbor island patients
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