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Procedures

What is bilateral knee replacement?

Medcasts editorial team

Bilateral knee replacement means both knees are replaced — either simultaneously (same surgery) or staged (1–2 weeks apart, sometimes longer).

Simultaneous bilateral has a single anesthesia exposure, single hospital stay, and shorter total recovery, but higher complication rates (1.5–2× the rate per knee) and is contraindicated in older patients or those with cardiac/pulmonary disease.

Staged bilateral is safer for most patients: do one knee, recover, then do the other. The total recovery is longer but the risk profile is more favorable.

For international travel, staged bilateral often means two trips. Some patients prefer simultaneous to consolidate travel; the right choice depends on age, comorbidities, and patient preference. Discuss with both your surgeon and anesthesiologist.

This answer is general information, not medical advice. Your own doctor should confirm what applies to your case.

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