It can happen. You meet with your surgeon and he tells you that you're just too heavy for a successful outcome with joint replacement surgery. "Lose some weight first, " he says. "Then come back and we'll discuss it." You leave feeling sad, hopeless and wondering what to do next. You'd love to lose weight, but it's almost impossible to stay with a consistent exercise program because your joints hurt too much. So what now??? The best course of action is to get busy and find a new surgeon who is more understanding of the problem. There are many who will perform knee or hip replacements on obese patients. If you're in the USA, use the BoneSmart FIND A CLINIC locator (tab at the top of the page) to find potential surgeons within whatever distance you are willing to travel. If you're in the UK, post your location with a tag to our forum nurse, Josephine, and she can help you locate a surgeon. If you're in another country, find all the orthopedic surgeons in your area and contact them. Their websites won't mention whether or not they work with overweight patients, so call as many on your list as possible and ask if the surgeon is comfortable working with someone of your size. Before you begin your search, it helps to be armed with information. The posts in this thread will provide data to assist in your search. Most surgeons will want to know your Body Mass Index (BMI), so calculate that before you start calling clinics. Be prepared to tell them if you have gained a significant amount of weight BECAUSE of your bad joint(s). Let them know how much weight you've gained and in what period of time. Also, talk about your willingness to begin a healthy life program once you are pain free. In this thread, you will also find an article supporting the argument that weight is not a factor in how well someone will do after joint replacement surgery. While there may be some additional days spent in a hospital unit where you can be carefully monitored for possible breathing or heart issues, the performance of your new joint will be much the same as any other patient. Hopefully we will be able to provide more research results for you in the future. What you must do is NEVER give up hope! Many folks before you have had successful hip or knee replacements and have gone on to happy lives with their new joints. There is a surgeon out there who can help you. You just have to find him! We're here to help as much as we can in your search.