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My oldest sister needs both her knees replaced. She had one done about a year ago and it was obviously no picnic for her. Lots of pain, lots of ongoing therapy, pain meds etc... it was only the long term effects that were worth it most definitely. It took her a good three to four months to get mostly back to her old self with the walking, but these days I can tell it was totally worth it for her.
She's in her late 50's btw, and before the operation was way overweight and had been pretty much all of her life. Now she's able to be more active, has been going swimming regularly this past year, and has lost a lot of the weight. She's not looking forward to having the second knee done but I'm sure she'll go for it in the next few years. But whenever I ask her I can tell by the look on her face just how tough that operation is.
For her it was totally worth it though, definitely.
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