Hello All, I am a 59 yr old woman, fairly healthy, and had bilateral TKR on 9/2/11. I have no regrets - everything has gone well - better than anticipated. I was in the hospital for 6 days - I received 6 transfusions. Because I live alone - not counting my two dogs - I went to in-patient rehab for two weeks. The rehab was amazing and they really got me on my feet. I work full time, however, I am planning on taking three full months off before going back to work - 12/2/11. I had in-home p.t. and tomorrow I begin out-patient p.t. I'm wondering how long the fatigue will last for. I have had days that I know I've overdone it and I'm now trying to pace myself. I care for myself, my home and my two dogs. I do have a dog-walker once daily and because I can walk with a cane I go out and take walks - sometimes with one of my dogs and sometimes by myself. My gait is good, but it is slow. After walking and doing mediocre household duties, I'm exhausted. When I get tired, I now use the downstairs bedroom to elevate and ice my knees and i take a time-out to rest - which I'm not accustomed to. When I start the day my thought process is overly ambitious and I may start off thinking I can run 3-4 errands and am able to manage one or two. I had been fairly active up until approximately two yrs ago - I cared for my dying husband and after his death my ability to once again become active was diminished by pain. I'm a little overweight - not too much. Also lost some weight after surgery. So, I think this covers it. Please share your experience with me and let me know if my expectations are too high and if the fatigue goes hand-in-hand with this type of surgery. Thanks so much - because I read the many threads posted on this site on bilateral tkr, I was empowered to go ahead and do so.