@steveinarizona The reason I did both at the same time is because I suspected if I had one done, I would probably not want to go through it again. However, a lot of things have to be in place to do both at once. Choose a surgeon who does only knees and hips and who has done many procedures, incuding double knee replacement. Get Physical Therapy before the surgery so you can be as strong as you need to be for this procedure. And have PT at home the first 2 weeks. Have someone who can be with you the first week if you can. Have a positive attitude, that goes a long way. Yes, it was subvastus and they did use a turniquet. I did not use an ice machine. The hospital provided 4 large ice packs and they worked extremely well for me. And remember, it's a marathon, not a sprint! But it is worth it.