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Total knee replacement has been gaining acceptability in patients with severe arthritis not benefiting from medical treatment. In terms of postoperative results, the factors like postoperative pain and range of movement have been stressed upon. The outcomes of mobile bearings and high-flex knees have been reviewed. An increasing trend of total knee replacement in younger patients is itself an indication of the success of this procedure. Bone conserving options and patellofemoral replacement are being considered as potential advancements in the field of knee surgery. Moreover, newer techniques like computer- assisted knee arthroplasty and minimally invasive knee replacement have gained significant attention in making the procedures more precise and less traumatic.