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Knee and Hip Replacement Abroad: A Patient's Complete Handbook

Feb 14, 2026 3 min read

Joint replacement surgery costs 70–85% less in India, Turkey, and Thailand. This guide covers implant types, surgeon selection, rehabilitation, and real patient journeys.

Joint replacement is the second most sought-after procedure among medical tourists after cardiac surgery. Over 1.2 million knee replacements and 500,000 hip replacements are performed annually in the US alone — many patients now travel abroad to access the same quality at 70–85% lower cost with zero waiting time.

When Is Joint Replacement Needed?

Joint replacement is typically recommended when conservative treatments (physical therapy, medications, injections) have failed and you experience:

  • Severe pain that limits daily activities — walking, climbing stairs, getting in/out of chairs
  • Pain that persists even at rest or disrupts sleep
  • Significant stiffness limiting range of motion (inability to bend knee beyond 90°)
  • X-ray evidence of advanced osteoarthritis (bone-on-bone contact, osteophytes)
  • Failed response to at least 6 months of conservative treatment

Age is not a barrier: Modern implants last 20–25+ years. Patients as young as 45 and as old as 90 successfully undergo joint replacement. The key factor is your overall health, not your age.

Types of Implants — What You Need to Know

Not all implants are equal. Here's a breakdown of the major brands and materials used globally:

Implant BrandCountryMaterialLifespan
Zimmer Biomet (Persona)USATrabecular Metal + Polyethylene20–25 years
Smith & Nephew (Journey II)UKOxinium (oxidized zirconium)25+ years
DePuy Synthes (Attune)USA (J&J)Titanium + Highly cross-linked PE20–25 years
Stryker (Triathlon)USACobalt-Chrome + XLPE20+ years

Key tip: Top Indian hospitals use the same Zimmer Biomet, DePuy, and Stryker implants used in the US — these are FDA-approved, globally distributed products. Always confirm the implant brand before surgery and ensure you receive the implant identification card at discharge.

Robotic vs. Traditional Knee Replacement

Robotic-assisted surgery (using systems like Mako by Stryker or ROSA by Zimmer Biomet) has become increasingly available at top hospitals in India and Turkey. Here's how it compares:

Robotic-Assisted

  • Sub-millimeter precision in bone cuts and implant alignment
  • 3D CT-based pre-surgical planning
  • Smaller incision, less tissue damage
  • Faster recovery (walk on day 0-1)
  • Better long-term outcomes in studies

Cost premium: $1,000–2,000 extra in India

Traditional (Manual)

  • Proven technique with decades of data
  • Depends heavily on surgeon experience
  • Wider availability
  • Lower cost
  • Slightly higher rates of implant malalignment

Perfectly appropriate for most patients

Cost Comparison — Knee & Hip Replacement (2026)

CountryTotal KneeTotal HipIncludes
United States$35,000–$70,000$32,000–$50,000Surgery only — rehab extra
UK (Private)$14,000–$20,000$14,000–$18,000Surgery + limited rehab
Turkey$6,000–$10,000$7,000–$11,000All-inclusive package
Thailand$8,000–$14,000$10,000–$16,000All-inclusive package
India$3,500–$6,000$4,000–$7,000All-inclusive + 5 days rehab

Rehabilitation After Joint Replacement Abroad

Rehabilitation is critical to the success of joint replacement. Here's the typical timeline:

Day 0
Same-day walking — With modern techniques, most patients walk with a walker within hours of surgery. Early ambulation prevents blood clots and speeds recovery.
Day 1–5
In-hospital physiotherapy — Daily sessions focusing on range of motion (target: 90° flexion by day 5), quad strengthening, and stair climbing practice.
Day 5–14
Outpatient rehab — Continue physiotherapy at the hospital or nearby rehab center. Many hospitals in India offer extended stay packages with daily physio sessions.
Week 3–12
Home physiotherapy — Continue exercises at home. The hospital provides a detailed exercise programme. Many offer teleconsultation physio follow-ups.

Travel Tips for Joint Replacement Patients

  • Book an aisle seat — You'll need to stretch your leg and walk periodically during the flight home
  • Wear compression stockings — Mandatory for all flights post-surgery to prevent DVT
  • Request wheelchair assistance — Airlines provide this free at all airports
  • Carry discharge papers in hand luggage — Airport security may need to see documentation for your implant (metal detector will ping)
  • Get an implant ID card — Your hospital should provide this; it identifies the implant for any future imaging or surgery
  • Avoid flights over 6 hours in the first 2 weeks — If unavoidable, walk every 1–2 hours and stay well hydrated

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