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joint replacement surgery is considered a major operation thus we take many precautions to ensure the best possible outcomes before we actually scheduled the surgery we ask the patient to see their primary care physician or cardiologist to ensure that they are in their best possible health before undergoing such a major procedure we also order lab work to ensure their blood counts are ok once we have received a blessing from their physician and we have reviewed in ok the blood work we schedule the surgery typically on a Tuesday the surgery is performed and then the patients will typically stay in the hospital for three to five days physical therapy has begun the day after surgery the patient is also placed on anticoagulants to ensure they do not develop a blood clot after discharge from the hospital we helped arrange for a nurse and the therapist to visit their home for the first few weeks to continue their intensive physical therapy and care following the joint replacement the patient