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To assessed whether patients who were dissatisfied with their previous primary Total Knee Arthroplasty (TKA),done by another Joint surgeon,would have continued dissatisfaction or would have significant improvements in outcome scores following their subsequent primary TKA.The majority of reasons provided for switching surgeons and/or institutions related to dissatisfaction with some aspect of their surgical experience specifically involving the patient interaction itself.All 21TKA patients noted that their subsequent arthroplasty had decreased their pain,improved their function and that they were satisfied with their result.All patients had a statistically significant improvement in their SF-36 questionnaires.This study demonstrates that previous dissatisfaction with a TKA does not predispose to a suboptimal outcome following subsequent primary Total Knee Arthroplasty.