Mrs Shilpa Khedekar 70 year old female, suffering from Diabetes, Hypertension, Arthritis. Cardiologist advised her to walk everyday to keep her heart healthy and to keep her blood sugar in control. She couldn’t walk as she was suffering from arthritis. She was facing trouble while walking even at home. Pain was persistent even when she sleeps at night. For us doing total knee replacement in this case was challenging as her bypass surgery was done in past. We did her knee replacement one by one. After her knee replacement she walk regularly and she also do cycling every day to keep her blood sugar in control. She is happy and living pain free Life after knee replacement.