 Today I am going to talk to you about one patient of mine by the name Mrs. Chhataj. She is an elderly 61 year old lady for whom I had done a knee replacement on the right side almost about 3 years back. She was very happy with the surgery and she came to me about 3 days back for a surgery on the left knee. We did her surgery on the left knee. Today is the day 3rd after the surgery. She is almost pain free, mobile, independently able to use the washroom and today she will be going home. One of the primary reasons we are able to discharge them on day 3 is what we do is we follow patient optimization. Even before surgery we ensure that all the parameters are fine and we follow enhanced recovery after surgery protocols to ensure that the patient is mobile either on the same day or the next day after surgery. By employing these practices we ensure that our complication rates are much lower and the patient is discharged at a faster rate and in a much better independent position. If you have this problem you can get this to Saiyed Imran in Manipal Hospital. He is very good. Allhamdulillah, he is the best. Nothing can be done. No matter how you are, you can do it. Allhamdulillah, it will be good. We at Manipal Hospital Millers Road regularly employ these practices to ensure that our patients have better outcomes in a shorter time.