Treatment Overview
Knee replacement surgery in India is an established treatment for people with severe knee arthritis, advanced joint damage, deformity, or persistent knee pain that no longer improves adequately with non-surgical treatment.
The surgery, also called knee arthroplasty, involves removing damaged portions of the knee joint and replacing the worn joint surfaces with artificial components. Depending on the extent and location of damage, a patient may require a total knee replacement, partial knee replacement, or revision knee replacement.
India has developed a large orthopaedic and joint-replacement ecosystem, with hospitals offering conventional, computer-assisted and robotic-assisted knee replacement procedures. Patients travelling to India can also access multidisciplinary evaluation, imaging, surgery, inpatient care and rehabilitation through major private hospitals.
Choosing knee replacement is not simply a question of finding the lowest price or the newest technology. The appropriate operation depends on the patient's symptoms, X-rays, ligament stability, deformity, age, activity level, medical conditions and the surgeon's assessment.
GAF Healthcare planning ranges for total knee replacement are $5,500–$12,000 (typically 4–7 nights). Robotic-assisted knee replacement is $7,000–$15,000 (4–7 nights). Partial knee replacement is $4,500–$10,000 (3–5 nights). Revision knee replacement is $9,000–$18,000 (5–10 nights). These are planning ranges from partner hospital cost sheets, not hospital quotations.
International patients comparing orthopaedic surgeons commonly start with Delhi NCR, Mumbai, Bengaluru, Chennai and Hyderabad. Partner orthopaedic hospitals in Delhi NCR, Mumbai and Bengaluru are a typical first filter. City cost sheets for the same procedure include Delhi NCR, Mumbai, Bengaluru, Chennai and Hyderabad.
A longer patient-facing explainer with the same clinical map sits in Knee Replacement Surgery in India. The neighbouring joint pathway is Hip Replacement Surgery in India. Sports-ligament injuries that are not end-stage arthritis sit on ACL Surgery in India. Selected meniscus, loose-body and cartilage problems sit on Knee Arthroscopy Surgery in India. Limb reconstruction and stature lengthening sit on Limb Lengthening Surgery in India.
What Is Knee Replacement Surgery?
Knee replacement surgery is an operation in which damaged portions of the knee are removed and replaced with artificial components.
The knee is formed primarily by the:
- Femur — thigh bone
- Tibia — shin bone
- Patella — kneecap
Healthy cartilage allows these surfaces to move smoothly against one another. With advanced arthritis or other forms of joint damage, cartilage can become severely worn, resulting in pain, stiffness, deformity and reduced movement.
During knee replacement surgery, the surgeon removes damaged joint surfaces and places prosthetic components designed to restore the functional relationship between the femur and tibia.
In a total knee replacement, the damaged surfaces of the femur and tibia are replaced, and the patella may also be resurfaced depending on the surgeon's approach and the patient's condition.
The objective is not to create a completely "new" natural knee. The primary goals are to:
- Reduce severe knee pain
- Improve mobility
- Correct significant deformity where appropriate
- Improve the ability to perform daily activities
- Improve overall knee function and quality of life
Why Do People Need Knee Replacement?
The most common reason for knee replacement is advanced osteoarthritis.
Osteoarthritis progressively damages the structures of a joint. The knee is the most commonly affected joint in osteoarthritis. WHO estimates that around 528 million people worldwide were living with osteoarthritis in 2019, with the knee accounting for approximately 365 million cases.
1. Severe osteoarthritis
The cartilage covering the joint surfaces becomes progressively damaged. Symptoms may include persistent knee pain, pain while walking, difficulty climbing stairs, pain when standing up, morning or post-rest stiffness, reduced walking distance, swelling, deformity and difficulty performing everyday activities.
2. Rheumatoid or inflammatory arthritis
Inflammatory diseases can progressively damage cartilage and bone and may eventually result in severe joint destruction.
3. Post-traumatic arthritis
A previous fracture, ligament injury or significant knee trauma can contribute to long-term joint degeneration. A remote ACL reconstruction or meniscus repair does not by itself mean a later replacement will be needed, but post-traumatic arthritis can still develop years after injury.
4. Severe knee deformity
Advanced arthritis may result in deformities such as bow-legged alignment, knock-kneed alignment or flexion deformity.
5. Other severe joint damage
The treating orthopaedic surgeon may consider replacement when the joint is severely damaged and other appropriate treatments no longer provide sufficient functional improvement. Fortis, Medanta, Max Healthcare and other major Indian hospital systems describe severe arthritis, rheumatoid arthritis, post-traumatic arthritis and significant functional limitation among common reasons for considering knee replacement.
When Is Knee Replacement Surgery Recommended?
Knee replacement is generally considered when pain and loss of function become substantial and reasonable non-surgical treatments are no longer providing adequate relief.
The decision should not be based on an X-ray alone. A patient may have severe radiographic arthritis but relatively manageable symptoms. Another patient may have substantial symptoms and functional limitations requiring detailed evaluation.
Doctors generally consider severity and location of arthritis, pain intensity, impact on daily activities, walking limitations, knee stiffness, deformity, range of motion, ligament stability, previous injuries or surgeries, response to conservative treatment, overall health, weight and metabolic health, cardiovascular and respiratory status, and patient expectations and activity goals.
The 2023 ACR/AAHKS guideline addresses timing of total hip and knee arthroplasty for patients with symptomatic, moderate-to-severe osteoarthritis who have not responded adequately to non-operative therapy. The timing of surgery remains an individual clinical decision.
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Knee Replacement Does Not Always Mean Total Knee Replacement
This is one of the most important distinctions for patients. There are several forms of knee replacement surgery.
1. Total knee replacement
Total Knee Replacement (TKR), also called Total Knee Arthroplasty (TKA), is the most common form. The damaged surfaces of the femur and tibia are replaced with prosthetic components. The patella may also be resurfaced. Total knee replacement may be considered when arthritis affects multiple compartments of the knee or when the overall joint damage requires a more comprehensive replacement. GAF planning: $5,500–$12,000, typically 4–7 nights.
2. Partial knee replacement
A partial knee replacement, also known as unicompartmental knee replacement, replaces only the damaged compartment of the knee. It may be appropriate for carefully selected patients whose arthritis is largely confined to one compartment and whose remaining structures meet the requirements for this procedure.
Potential advantages may include smaller surgical exposure, preservation of more natural knee structures, and potentially faster recovery in selected patients. However, not every patient with arthritis is suitable for partial replacement. GAF planning: $4,500–$10,000, typically 3–5 nights.
3. Revision knee replacement
Revision knee replacement is performed when an existing knee replacement has developed a significant problem requiring further surgery. Possible reasons include implant loosening, infection, wear, instability, fracture around the implant, significant bone loss and persistent problems after the initial replacement.
Revision surgery is generally more complex than primary knee replacement. GAF planning: $9,000–$18,000, typically 5–10 nights. Neighbouring revision hip replacement is a different joint and a different sheet ($10,000–$20,000).
4. Bilateral knee replacement
Some patients have severe arthritis in both knees. Surgery may be performed on one knee first and the other later, on both knees during the same hospitalisation, or as staged procedures. There is no separate GAF bilateral sheet: planning starts from the total knee replacement range of $5,500–$12,000 per knee. Two knees are not automatically double a single-knee package.
Compare partial and total knee replacement
Robotic Knee Replacement Surgery in India
Robotic-assisted knee replacement has become increasingly available in Indian hospitals. However, robotic surgery does not mean that a robot independently performs the operation.
The orthopaedic surgeon remains responsible for planning and performing the procedure. Robotic or computer-assisted systems can help with preoperative planning, bone preparation, alignment assessment, implant positioning, intraoperative measurements and surgical precision.
Is robotic knee replacement better for everyone?
Not necessarily. The important question is whether robotic assistance provides a meaningful benefit for that particular patient's anatomy and surgical plan.
Patients should ask:
- Is robotic assistance appropriate for my knee?
- What problem does the technology solve in my case?
- Which robotic system is being used?
- Does my surgeon routinely perform this procedure?
- Will the implant be different?
- What additional cost is involved?
- Does the hospital have a rehabilitation pathway for robotic knee replacement?
Technology should support clinical decision-making rather than replace it. GAF planning for robotic knee replacement is $7,000–$15,000 (typically 4–7 nights).
Ask about robotic knee replacement
Conventional vs Robotic Knee Replacement
| Feature | Conventional Knee Replacement | Robotic-Assisted Knee Replacement |
|---|---|---|
| Surgeon performs procedure | Yes | Yes |
| Preoperative planning | Standard imaging and planning | May include advanced digital planning |
| Computer assistance | Limited/varies | Yes |
| Implant positioning | Surgeon-guided | Surgeon-guided with robotic assistance |
| Suitability | Broad | Patient and system dependent |
| GAF planning range | $5,500–$12,000 | $7,000–$15,000 |
| Typical stay | 4–7 nights | 4–7 nights |
| Recovery | Depends on many factors | Depends on many factors |
| Is robotic automatically better? | — | No |
A patient's recovery depends on many factors beyond the surgical platform, including health, pain management, rehabilitation, surgical technique, implant selection and adherence to physiotherapy.
Knee Replacement Implants: What Patients Should Know
The implant is one of the most important components of knee replacement surgery. Modern knee implants generally contain combinations of metal components, medical-grade polyethylene and, in some designs, ceramic or other specialised materials.
Implant selection depends on patient anatomy, bone quality, age, activity level, ligament condition, deformity, surgeon preference, implant design, surgical technique and availability.
Patients should not choose an implant solely because it is described as "premium," "latest," or "long-lasting." Instead, ask the surgeon: Why is this implant appropriate for my knee?
Cemented vs Cementless Knee Replacement
Knee implants can be fixed to bone using different approaches.
Cemented fixation
Bone cement is used to secure the implant.
Cementless fixation
The implant is designed to achieve fixation through bone growth into or around specially designed surfaces.
The choice depends on patient characteristics, bone quality, implant system and surgeon assessment. There is no single fixation method that is automatically appropriate for every patient.
How Is Knee Replacement Surgery Performed?
The exact technique varies according to the surgeon, implant and patient's anatomy. A typical total knee replacement involves several stages.
- Anaesthesia — spinal, general, or combined regional techniques, decided by the anaesthesiologist.
- Surgical exposure — an incision to access the knee joint.
- Removal of damaged bone and cartilage according to the planned implant and alignment.
- Implant preparation of the femur and tibia.
- Implant placement of femoral and tibial components, a polyethylene insert, and patellar resurfacing when indicated.
- Alignment and stability assessment — alignment, stability, range of motion, soft-tissue balance and implant positioning.
- Closure and transfer to recovery.
The surgical procedure itself commonly takes around 1–2 hours, although the total perioperative process is longer.
Tests Before Knee Replacement Surgery
Before surgery, patients usually undergo a detailed medical and orthopaedic evaluation.
Orthopaedic evaluation: physical examination, knee range of motion, ligament stability, alignment and walking assessment.
Imaging: standing X-rays, AP and lateral views, additional specialised views where required, and CT or MRI in selected cases.
Blood tests: complete blood count, kidney and liver function, blood glucose, coagulation testing and other tests requested by the medical team.
Cardiac evaluation: ECG, echocardiography and cardiology review depending on age and risk factors.
Infection screening: the medical team may evaluate for active infections before elective joint replacement, because infection involving an artificial joint can be a serious complication.
Preparing for Knee Replacement Surgery
International patients should ideally send previous X-rays, MRI/CT reports if available, medical history, previous surgical reports, medication list, allergy information, blood test reports and cardiac reports where relevant. The Indian hospital can then review the information before the patient's arrival.
Doctors may advise patients to stop smoking, optimise blood sugar, control blood pressure, maintain appropriate nutrition, improve physical conditioning, address anaemia, manage weight where appropriate and review medications. The NHS similarly recommends preparation involving exercise, smoking cessation, healthy diet and weight management where appropriate before knee replacement.
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Knee Replacement Surgery Recovery Timeline
Recovery varies from patient to patient.
Day 0–1. The patient is monitored after surgery. Pain control begins, and physiotherapy may start early. Many patients begin standing and walking with assistance relatively soon after surgery.
Days 1–3. Walking with assistance, knee exercises, pain control, wound care, DVT prevention and physiotherapy. Some enhanced-recovery protocols aim for earlier discharge; GAF partner-hospital planning for total knee replacement is typically 4–7 nights.
Weeks 1–2. Walking increases and prescribed exercises continue. Swelling and discomfort are common.
Weeks 3–6. Many patients become increasingly independent. Strength and range of motion continue to develop.
Weeks 6–12. Many patients resume a broader range of daily activities. Return to work depends on the occupation and recovery.
3–6 months. Strength, endurance and confidence may continue improving. The NHS notes that complete recovery can take several months or longer.
Physiotherapy After Knee Replacement
Physiotherapy is not an optional extra. It is a central part of recovery.
The rehabilitation programme may include knee range-of-motion exercises, quadriceps strengthening, hamstring exercises, straight-leg raises, walking training, balance exercises, stair training and functional exercises.
The exact programme should be individualised. A patient who undergoes technically successful surgery but does not follow an appropriate rehabilitation plan may not achieve the desired functional result.
What Can You Do After Knee Replacement?
Many patients can return to walking, swimming, cycling, golf, low-impact exercise and normal household activities.
High-impact activities may not be recommended depending on the individual case. Activities such as running, jumping and repetitive high-impact sports should be discussed with the treating surgeon.
The aim is generally to create a functional, stable and comfortable knee — not necessarily to reproduce the performance of a young natural knee.
Risks and Complications of Knee Replacement Surgery
Knee replacement is a major operation and, like all surgery, carries risks. Most patients do not develop serious complications, but patients should understand the possibilities before making a decision.
Potential complications include infection (including prosthetic joint infection), blood clots (DVT and pulmonary embolism), bleeding, persistent pain, stiffness, implant loosening or wear, nerve or blood vessel injury, fracture around the implant, instability and the later need for revision surgery.
NHS patient information lists blood clots, infection, nerve or tissue injury, persistent pain, stiffness and instability among potential complications. CDC notes that surgical-site infections can involve implanted material and may sometimes require additional medical care or surgery.
Emergency symptoms are not a WhatsApp question. Sudden chest pain, shortness of breath, a swollen painful calf, fever with wound drainage, or sudden inability to walk should be assessed in a local emergency department.
How Long Does a Knee Replacement Last?
Many modern knee replacements can provide long-term function. NHS patient information states that many knee replacements can last around 25 years, although individual results vary.
Implant longevity depends on patient age, body weight, activity level, implant design, surgical technique, alignment, bone quality, infection, trauma and implant wear. A younger, highly active patient may place different mechanical demands on an implant than an older patient with a lower-impact lifestyle. Therefore, "lifelong guarantee" should not be used as a blanket promise.
Knee Replacement Surgery Cost in India
The cost of knee replacement surgery in India varies considerably. GAF Healthcare planning ranges from partner hospital cost sheets are the figures used on this site — not rupee brochure quotes.
| Treatment | GAF planning range in India | Typical stay |
|---|---|---|
| Total knee replacement — one knee | $5,500–$12,000 | 4–7 nights |
| Partial knee replacement | $4,500–$10,000 | 3–5 nights |
| Robotic-assisted knee replacement | $7,000–$15,000 | 4–7 nights |
| Revision knee replacement | $9,000–$18,000 | 5–10 nights |
| Bilateral (both knees) | Quoted after case review from the single-knee sheet | Depends on simultaneous vs staged surgery |
| Total hip replacement (neighbouring joint) | $6,000–$13,000 | 4–7 nights |
| Revision hip replacement | $10,000–$20,000 | 5–10 nights |
| Additional rehabilitation | Depends on duration and facility | — |
| International travel, visa, hotel | Not normally included in the surgical sheet | — |
These figures are indicative planning ranges, not fixed package prices. City sheets for the same total-knee procedure include Delhi NCR, Mumbai, Bengaluru, Chennai and Hyderabad. Neighbouring hip arthroplasty sits on total hip replacement ($6,000–$13,000).
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What Determines the Cost of Knee Replacement in India?
Several factors affect the final price: hospital infrastructure and room category; city (Delhi NCR, Mumbai, Bengaluru, Chennai and Hyderabad); implant system; type of surgery (total, partial, bilateral or revision); robotic assistance; medical conditions such as diabetes, heart disease or obesity; and unexpected complications.
Compare partner orthopaedic hospitals in Chennai and Hyderabad as well as Delhi NCR, Mumbai and Bengaluru.
A hospital package may include some or all of surgeon fees, anaesthesia, operating room charges, implant, hospital accommodation, nursing, routine medications, standard investigations, physiotherapy during admission and routine postoperative care. Packages differ. International patients should request a written cost estimate specifying what is included and excluded.
Knee Replacement Surgery in India for International Patients
For international patients, the medical journey involves more than surgery.
- Medical record review
- Orthopaedic opinion
- Cost estimate
- Visa documentation
- Travel planning
- In-person assessment
- Surgery
- Rehabilitation
- Follow-up and travel clearance
Plan an international knee replacement journey
How Long Should an International Patient Stay in India?
The exact duration depends on the patient's condition, procedure and recovery. For an uncomplicated primary knee replacement, international patients may need to remain in India for several weeks when the travel period, postoperative monitoring and rehabilitation are considered.
A practical medical-tourism plan can include: pre-arrival evaluation → surgery → hospital stay → initial rehabilitation → follow-up → travel clearance.
Patients should not book a return flight immediately after surgery without discussing travel timing with their treating team.
Choosing a Hospital and Surgeon for Knee Replacement in India
Patients should evaluate hospitals using clinical criteria rather than marketing claims alone: dedicated joint-replacement surgeons, surgical volume, implant availability, infection-control practices, anaesthesia support, physiotherapy, ICU and emergency support, and accreditation such as NABH.
Major Indian hospital networks offering knee replacement include Fortis Healthcare, Apollo Hospitals, Medanta – The Medicity, Max Healthcare, Manipal Hospitals and other accredited multispecialty hospitals. These should not be treated as a ranking. Filter orthopaedic hospitals by city rather than by brochure claims.
The surgeon is at least as important as the hospital. Look for an orthopaedic surgeon with relevant experience in total, partial and revision knee replacement, deformity correction and rehabilitation.
Find a knee replacement surgeon in India
Knee Replacement, Diabetes and Obesity
Diabetes does not automatically mean that knee replacement cannot be performed. However, poorly controlled diabetes can increase the risk of complications, including infection and impaired wound healing. The team may ask for blood glucose testing, HbA1c, medical optimisation and medication review.
Body weight can influence knee arthritis as well as surgical risk. WHO identifies overweight and obesity as risk factors associated with knee osteoarthritis. A patient with obesity may still be considered for knee replacement, but the surgical team may recommend weight optimisation where clinically appropriate.
Walking, Bending, Squatting and Pain After Knee Replacement
There is postoperative pain because knee replacement is major surgery. Modern pain-management strategies may include regional anaesthesia, local anaesthetic techniques, oral pain medicines, ice and early mobilisation. Pain generally decreases as healing progresses.
Many patients begin walking with assistance soon after surgery. Early movement is also an important component of blood-clot prevention.
The goal of rehabilitation is to achieve useful knee movement for daily activities. A patient should not judge the final result during the first few weeks.
Deep squatting and prolonged kneeling may be difficult after knee replacement. Patients from South Asia and Africa should specifically discuss floor sitting, squatting, cross-legged sitting, prayer positions, low chairs and frequent stair climbing with their surgeon and physiotherapist before surgery.
What Are Alternatives to Knee Replacement?
Knee replacement is not the first treatment for every person with knee pain. Depending on the diagnosis, alternatives may include weight management, exercise therapy, physiotherapy, strengthening exercises, activity modification, walking aids, bracing, medicines, selected injections and other joint-preserving procedures.
When the problem is a sports injury rather than end-stage arthritis, ACL reconstruction ($2,500–$6,500) or meniscus repair ($1,800–$4,500) may be the honest sheet — not arthroplasty.
ICMR's Standard Treatment Workflow for knee osteoarthritis recommends conservative measures such as exercise, weight loss and appropriate medications and emphasises a high threshold for invasive procedures.
Surgery may need to be delayed in situations such as active infection, uncontrolled medical illness, certain serious cardiovascular problems, severe uncontrolled diabetes, poor skin condition around the knee, or inadequate medical optimisation.
Knee Replacement Surgery: Advantages and Limitations
For appropriately selected patients, knee replacement can provide significant pain reduction, improved walking ability, better knee function, improved daily activities, correction of certain deformities and improved quality of life. WHO notes that joint replacement can reduce pain, restore movement and improve quality of life for people with severely affected joints.
A knee replacement is not a return to the original biological knee. Some stiffness may remain, kneeling may remain uncomfortable, high-impact activities may be discouraged, a clicking sensation can occur, some numbness around the scar can occur, recovery takes time, and a future revision may sometimes be necessary.
Knee Replacement Surgery in India vs Treatment Abroad
One reason international patients consider India is the combination of established orthopaedic services, specialist availability and comparatively lower treatment costs in many cases. A cost comparison should include the complete medical journey, not simply the surgical package: surgery type, surgeon experience, implant, hospital accreditation, anaesthesia, stay, physiotherapy, complications cover, follow-up, accommodation, travel, visa and aftercare after returning home.
The cheapest surgical quote is not necessarily the lowest overall cost once travel, accommodation, rehabilitation and follow-up are included.
Key Takeaways
- Total knee replacement is the most common form of knee arthroplasty.
- Partial knee replacement may be suitable for carefully selected patients.
- Revision surgery is more complex and is performed when an existing replacement develops a significant problem.
- Robotic assistance is a surgical technology, not a replacement for surgeon expertise.
- The implant should be selected according to the patient's anatomy and clinical requirements.
- Physiotherapy is an essential part of recovery.
- Recovery generally takes weeks to months rather than days.
- GAF planning for total knee replacement in India is $5,500–$12,000 for one knee; hospital quotations vary.
- International patients should consider the entire treatment journey — not just the surgical price.
How GAF Healthcare Can Help International Patients
GAF Healthcare coordinates international patients who need a total, partial, robotic-assisted or revision knee replacement plan in India. Share standing X-rays, symptom duration, previous treatments, medicines, diabetes or cardiac history and whether one or both knees are involved. A coordinator can introduce an orthopaedic surgeon in Delhi NCR or Mumbai, then help collect an itemised quotation covering the implant, stay, physiotherapy and planned duration.
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Medical Disclaimer
This page is intended for educational and medical-tourism information purposes only. Knee replacement is highly individualised. The choice of operation, implant, robotic assistance and duration of stay depends on imaging, ligament stability, deformity, previous treatment, overall health and other clinical factors. The information on this page should not replace consultation with a qualified orthopaedic surgeon. Emergency symptoms belong in a local emergency department.
Sources used for this guide
- World Health Organization — Osteoarthritis — global data, risk factors, symptoms and treatment principles.
- Indian Council of Medical Research — Standard Treatment Workflow: Osteoarthritis of Knee Joint — Indian clinical guidance covering diagnosis, conservative management and indications.
- American College of Rheumatology / AAHKS — Optimal Timing of Elective Hip or Knee Arthroplasty — evidence-based guidance concerning timing of joint replacement.
- NHS — Knee replacement — patient-focused information about indications and expected outcomes.
- NHS — How a knee replacement is done — total and partial knee replacement and the surgical process.
- NHS — Recovery after a knee replacement — hospital recovery, walking, physiotherapy and return to activities.
- NHS — Risks of a knee replacement — infection, DVT, persistent pain, stiffness and other complications.
- CDC — Surgical Site Infection Basics — surgical-site infections and infection prevention.
- NABH — Hospital Accreditation Programme — hospital quality, patient-safety and accreditation standards in India.
- GAF Healthcare total knee replacement cost sheet — indicative USD planning ranges; costs vary by hospital, city and surgical plan.
Last reviewed against the cited sources: September 2026.
Treatment Process
- 1
Share medical records
The patient provides standing knee X-rays, symptom history, medicines, and any MRI, cardiac or previous surgical reports.
- 2
Orthopaedic review
A joint-replacement surgeon reviews compartments, deformity, ligament stability and whether replacement is actually indicated.
- 3
Procedure selection
The team decides total, partial, revision or robotic-assisted replacement, and simultaneous versus staged surgery if both knees are involved.
- 4
Medical optimisation
Blood tests, cardiac clearance, diabetes control and infection screening are completed before an elective implant.
- 5
Itemized estimate
The hospital quotes implant, stay, physiotherapy and technology from GAF cost sheets — not a brochure package.
- 6
Travel to India
The patient allows time for in-person examination, surgery, inpatient physiotherapy and travel clearance.
- 7
Surgery
The planned knee replacement is performed under the treating surgeon and anaesthesia team.
- 8
Early mobilisation
Physiotherapy begins in hospital. Many patients start assisted walking soon after surgery.
- 9
Rehabilitation
Range-of-motion and strengthening work continues after discharge until the team clears travel.
- 10
Return home
The patient leaves with a written summary covering the implant, physiotherapy plan and how follow-up should continue at home.
