 This paper examines the prevalence and trends of orthopedic surgeries in Romania between 2001 and 2022. Overall, there has been a significant increase in the number of orthopedic surgeries with hip replacements increasing by 8.19%, knee replacements increasing by 19.55%, revision hip arthroplasty increasing by 9.43%, and revision knee arthroplasty increasing by 28.57%. Additionally, there has been a decrease in the number of operated bone tumor surgeries, minus 4.52%. Gender differences exist in terms of the proportion of women undergoing hip replacements, 58.82%, and knee replacements, 76.42%. Furthermore, regional differences exist in terms of the number of hip replacements and knee replacements performed in each county. Finally, the authors estimate that the number of hip replacements will double by 2034 and the number of knee replacements will double by 2027. This article was authored by Flaviu Moldovan, Liviu Moldovan, and Tiberiu Beraga. We are article.tv, links in the description below.