Frequently Asked Questions (FAQ)

How long does recovery take after a hip or knee replacement?

Early mobilization is key. Under modern accelerated rehabilitation protocols, the vast majority of patients are able to stand and walk with support on the same day or the day after surgery. Returning to light daily activities typically takes between 4 and 6 weeks.

Is it safe to travel to Costa Rica for orthopedic surgery?

Completely safe. San José is home to high-tech private hospitals that hold international accreditations. Operating rooms are equipped with laminar flow systems and utilize the exact same globally leading implant brands (FDA-approved) that are used in North America.

What is the process like for a medical tourism patient?

The process begins with a virtual evaluation of your X-rays and medical history. Once a date is scheduled, the patient travels to Costa Rica for in-person preoperative evaluations. The surgery is then performed, and physical therapy follow-ups are coordinated before your return home.

What materials are used in modern hip and knee prostheses?

Today, biocompatible materials of the highest strength and technology are used, such as titanium alloys, cobalt-chromium, and ultra-high-molecular-weight polyethylene (a medical-grade plastic highly resistant to wear). In the case of hip replacements, the bearing surfaces are typically made of state-of-the-art ceramic or highly polished metal, ensuring a lifespan that can exceed 20 to 25 years depending on the patient's activity level.

Can both knees be operated on at the same time? (Bilateral Arthroplasty)

Yes, simultaneous bilateral replacement can be performed in selected patients. Ideal candidates are usually active individuals, generally under 70 years old, without severe chronic or systemic cardiovascular diseases. The primary advantage is undergoing a single anesthetic procedure and a single recovery period. During the consultation, we rigorously evaluate each case to determine if this is the safest option.

What happens if my previous prosthesis failed or wore out? (Revision Surgery)

When a previous implant suffers from wear, loosening, or infection, a joint revision surgery is performed. This is a complex procedure that requires a high level of subspecialization and training in bone reconstruction. In these cases, we use revision implants designed to compensate for bone loss and, if necessary, advanced technologies such as dual mobility to restore stability and function to the joint.

Which international or local insurance companies do you work with for procedures?

Our medical practice actively collaborates with the leading private local insurance providers in Costa Rica. We handle all the necessary documentation (medical reports, CPT, and ICD-10 codes) to facilitate reimbursement liquidations and letters of guarantee with international insurance companies and North American self-insured plans. Our administrative team will guide you step-by-step to optimize your medical coverage process.

How long do I need to stay in Costa Rica if I am traveling from abroad?

For a total hip or knee replacement, we recommend a minimum stay of 7 to 10 days in the country. This allows us to perform in-person preoperative evaluations, execute the surgery (which typically requires 1 to 2 nights of hospitalization), conduct the initial postoperative checkups, and safely remove any sutures or staples before the patient boards their return flight.

KNEE REPLACEMENT FAQ 

Indications

When do I need a knee replacement?
When knee pain limits daily activities and does not improve with conservative treatment.

What most commonly causes the need for surgery?
Advanced osteoarthritis is the most common cause.

Can knee replacement be avoided?
In early stages it can be managed with physical therapy, injections, and medications.

How do I know if I am in an advanced stage?
Constant pain, deformity, and loss of function.

Is age a deciding factor?
No, the main factor is pain and functional limitation.

Procedure

What is a knee replacement?
It is a surgery where damaged joint surfaces are replaced with a prosthesis.

Is it a major surgery?
Yes, but it is a highly standardized and safe procedure.

What type of anesthesia is used?
General or regional anesthesia depending on the case.

How long does the surgery take?
Between 1 and 2 hours.

What is robotic knee replacement?
It is a technology-assisted technique that improves implant positioning accuracy.

Pain and Recovery

Is the surgery very painful?
Pain is controlled with modern pain management protocols.

When do I start walking?
Usually the same day or the next day.

How long is initial recovery?
4 to 6 weeks.

When can I drive?
Between 3 and 6 weeks depending on recovery.

When can I return to work?
Between 4 and 8 weeks depending on job type.

Life after surgery

Can I exercise?
Yes, low-impact exercises like walking and swimming.

Can I run?
Usually not recommended.

Can I climb stairs?
Yes, gradually.

Does the prosthesis last forever?
It can last 15–25 years or more.

What happens if the prosthesis wears out?
A revision surgery may be required.

Risks and Safety 

Is knee replacement safe?
Yes, it is a very safe procedure.

What are the risks?
Infection, blood clots, and stiffness.

How common is infection?
It is rare but the most important complication.

Can the body reject the implant?
No, it is not an immune rejection like organ transplants.

How successful is the surgery?
More than 90% of patients improve significantly.

HIP SURGERY FAQ 

Indications

When do I need a hip replacement?
When hip pain limits walking, sleeping, or daily activities and does not improve with conservative treatment.

What most commonly causes hip replacement?
Hip osteoarthritis is the most common cause.

What is hip osteoarthritis?
Progressive wear of the joint cartilage.

Can surgery be avoided?
Only in early stages with conservative treatment.

Procedure

What is anterior hip replacement?
It is a surgical approach that accesses the hip from the front.

What are its advantages?
Less pain and faster recovery in many patients.

How long does surgery take?
Between 1 and 2 hours.

What anesthesia is used?
General or regional anesthesia.

What materials are used in implants?
Biocompatible metals, ceramic, or high-grade polyethylene.

Recovery

When can I walk after hip replacement?
Usually the same day or the next day.

When can I drive?
Between 2 and 6 weeks.

When can I sleep on my side?
Between 2 and 6 weeks depending on recovery.

How long is full recovery?
6 to 12 weeks in most patients.

Can I play sports?
Yes, low-impact sports.

Outcomes

How long does a hip implant last?
15 to 25 years or more.

Is it a permanent solution?
In most cases yes, but revision may be needed.

How successful is it?
Highly successful in pain relief.

Surgeon's Experience

What does fellowship in joint replacement mean?
Advanced specialized training in hip and knee replacement after residency.

Why is it important?
It is associated with higher expertise in complex cases.

What differentiates a joint replacement specialist?
Higher surgical volume and focused expertise.

Are revision surgeries performed?
Yes, in cases of implant failure or complications.

What is a prosthetic joint infection?
An infection around the implant that may require specialized treatment.