Most knee replacement patients have joint pain elsewhere, which reduces their overall health after surgery.[1][4] According to a large study presented in New Orleans, satisfaction after surgery is influenced by other patient issues.[1][4] The study showed that approximately 81% of patients were satisfied or very satisfied, while 19% were dissatisfied, neutral, or very dissatisfied.[1] Satisfaction with pain relief ranged from 72% to 86% and with function in daily activities from 70% to 84%.[1] The strongest predictors of dissatisfaction were unmet expectations (10.7-fold risk), low WOMAC score at 1 year (2.5-fold risk), preoperative pain at rest (2.4-fold risk), and postoperative complications requiring hospitalization (1.9-fold risk).[1] The overall state of health, not just the operated joint, significantly influences satisfaction after knee replacement.[4]