How Our Program Works

Our comprehensive program ensures you receive the best possible care. The comprehensive pre-operative approach to patient assessment will help the team understand as much as possible about a patient's medical condition, lifestyle, goals and expectations. Here is how the program works.

Doctor's Evaluation

Your Orthopedic Surgeon will talk with you about your symptoms, medical history and recommended course of treatment.

Physically Prepare for Surgery

Preparing for joint replacement begins weeks before the actual surgery. In some cases, beginning the process a few months in advance may provide an added benefit.

  • Exercise under your doctor's supervision
  • Stop Smoking
  • Lose weight/Watch your weight
  • Meet with a Physical Therapist for a pre- surgical therapy and exercise program

Set up Appointments

The Orthopedist' office will assist with setting up your necessary pre-surgery appointments or guide you accordingly.

  • Surgery date
  • Pre-surgery appointments as recommended, including Pre-Admission Testing
  • Physical Exam with primary care physician within 30 days of your operation date
  • Meet with or have contact with the Orthopedic Care Manager, your single point of contact 

Home Safety Evaluation

  • A Physical Therapist through a Visiting Nurse Association will visit your home to help ensure that it is safe.
  • Follow recommendations and suggestions to maximize home safety. 

Sign-Up for Pre-Surgery Class

You and your family can attend a class at Exeter Hospital to help prepare for surgery and after surgery. Classes are conducted two times per month by the Orthopedic Team.

Sign up and attend the Pre-Surgery Class by calling Exeter Hospital Information & Referral Line at (603)580-6668. 



The Orthopedic Surgeon and specialized team at Exeter Hospital will perform your surgery. The actual surgery last approximately 60-90 minutes.

Our caring nurses will prepare you for your procedure, assist the physician in the pre-operative areas, and provide specialized care following the surgery. As a patient, you can expect to spend a minimum of three days in the hospital following surgery. 

In-Hospital Therapy

A therapist will work with you two times a day during your hospital stay, but you must perform exercise on your own between therapists visits. Your goals for discharge from the hospital are as follows:

  • Getting safely in and out of bed without assistance
  • Getting safely in and out of a chair without assistance
  • Knowing your precautions so you will continue to protect your new joint after you leave the hospital
  • Performing your exercises as instructed by your therapist to increase strength and independence
  • Walk a functional distance using a walker or crutches
  • Performing stairs (if indicated)