The decision to have a joint replacement is complex. It involves real and imagined fears. Often older adults have heard "horror" stories from friends after their surgery. Many patients don't see the advantages of a joint replacement. The best approach may be to offer as much information as possible.

Ask her doctor for pamphlets, brochures, or videos on this subject. Don't hesitate to contact the Arthritis Foundation for more information (http://www.arthritis.org. You can call them at 800-283-7800). There's also another good resource on-line with information just on joint replacements. It's http://www.jointreplacement.com.

And be prepared to let her make her own decision. Some people see joint replacement as an elective operation. This means it's their choice and not absolutely needed. They may see the costs as too high for the benefits. This is especially true in their "sunset years." Costs refer to the financial cost as well as the need for help after the operation.