T
otal hip arthroplasty (THA) and total knee arthroplasty (TKA) are among the most successful procedures
performed in terms of quality-of-life years gained. The long-term goals of arthroplasty, to relieve
pain, increase function, provide stability, and obtain durability, are accomplished in the vast majority of
cases. The short-term goals, however, have become the target of aggressive peri-operative programs that aim
to speed recovery, reduce morbidity and complications, and create a program of efficiency while maintaining
the highest level of patient care. The concept of rapid recovery is built upon the burgeoning interest in
less-invasive and small-incision surgeries for (THA and TKA). However, the incision size does not appear to
be the most critical aspect of the program. This article outlines the specific elements of the rapid-recovery
program for lower-extremity arthroplasty patients, including pre-operative patient education,