If your doctor told you:
"You're bone-on-bone"
"You need knee replacement"
"Surgery is your only option"
"There's nothing else that works"
You deserve to know: Bone-on-bone doesn't always mean surgery is inevitable. Complete evaluation matters. Alternatives exist that many surgeons never mention.

Before you schedule surgery, start with the free workbook. Inside:
What a recommendation is usually based on, and what is almost never included
The one question worth asking your surgeon, and how to read the answer
Why taking thirty to ninety days to gather information is often reasonable
Fill-in pages for your history, your goals, and your surgeon’s answers
Before You Schedule Knee Replacement Surgery is a free guide and workbook from Dr. Maynard. For educational purposes only, not personal medical advice.


I know this from both sides of the exam table.
As an orthopedic surgeon with 30+ years of experience, I've performed thousands of knee replacements. Surgery helps many people.
As a patient with a bone-on-bone knee, I asked: Is this really my only option?
That question led me to develop a bone hardening protocol - for myself first, then for my patients who wanted an alternative to surgery.
The result? 20+ years later, I’m still bone-on-bone, still no surgery.
Complete diagnosis - Not just a quick X-ray. A thorough evaluation of your hip, ankle, foot, and complete medical history including family autoimmune conditions.
All your options - Surgery has its place. So do alternatives many doctors don't discuss.
Time to decide - You deserve more than a 10-minute appointment for a life-changing decision about your body.
The information I wish every patient had - What gets missed in rushed evaluations, questions to ask your surgeon, and how to know if you're really a candidate for alternatives.
I developed this bone-hardening protocol because I needed it for my own knee.
There are no published studies yet - just real results with real people, including me.
Many doctors won't recommend this approach because it's not validated through formal research. I understand that. But I also know what works when it's YOUR knee on the line.
My mission is simple: Help more people avoid surgery than get it.
Download the free 5-step evaluation checklist.
Find out what should be examined, what imaging you need, and what questions to ask your surgeon.
Because irreversible decisions deserve complete information.
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