In this episode, Dr. Raju Ghate, an orthopaedic surgeon at Endeavor Health Medical Group in Illinois, USA, shares his extensive experience using patient-specific knee guides in high-volume total knee replacement surgery. He discusses how the technology has more than doubled his efficiency, going from three knee replacements per day to seven. Despite the clear benefits, adoption of patient-specific guides remains surprisingly limited — a trend Dr. Ghate explores in depth. From the OR setup to patient mobilization, you'll hear how personalized technology is reshaping orthopaedic care.