Non-surgical measures have advanced and can combat the problem amongst majority of the population. However, some people have severe arthritic knees or hips. These patients cannot often be managed without an operation. Surgical techniques have been developed over the last six decades with great success.Advanced techniques today allow less painful, quicker and more precise surgery. Pain control techniques can completely eliminate discomfort immediately after surgery. Hospital stay has gone down to a bare minimum, and recovery is quick with advanced rehabilitation. Despite all these advancements, older people still suffer pain and debility, even at the risk of complete dependence but are hesitant to undergo knee and hip replacement surgery!