I had such a bad time with the operation, pain pills and the therapy and the recovery i looked for a new option. Granted it was expensive but the recovery was watching tv and reading books for 10 days. i can now garden , and put my knee on the dirt. To each his own. If i had a do over tkr would not happen. When insurance companies realize the expense of $7000 vs $60,000 plus P/T cost i think we will see a shift in their thinking.