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32<title>Choosing Your Hip or Knee Surgeon in Washington, D.C.</title><meta name="description" content="Deciding whom to trust with a hip or knee replacement in D.C., Maryland or Northern Virginia — what surgeon volume and training really mean for your result."><link rel="canonical" href="https://www.matthewharbmd.com/why-dr-harb"><meta name="robots" content="index, follow"><meta property="og:type" content="website"><meta property="og:site_name" content="Matthew Harb, M.D."><meta property="og:title" content="Choosing Your Hip or Knee Surgeon in Washington, D.C."><meta property="og:description" content="Deciding whom to trust with a hip or knee replacement in D.C., Maryland or Northern Virginia — what surgeon volume and training really mean for your result."><meta property="og:url" content="https://www.matthewharbmd.com/why-dr-harb"><meta property="og:locale" content="en_US"><meta property="og:image" content="https://www.matthewharbmd.com/images/og-image.jpg"><meta name="twitter:card" content="summary_large_image"><meta name="twitter:title" content="Choosing Your Hip or Knee Surgeon in Washington, D.C."><meta name="twitter:description" content="Deciding whom to trust with a hip or knee replacement in D.C., Maryland or Northern Virginia — what surgeon volume and training really mean for your result."><meta name="twitter:image" content="https://www.matthewharbmd.com/images/og-image.jpg"></head>
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34    <div id="root"><div class="flex min-h-screen flex-col"><a href="#main" class="sr-only focus:not-sr-only focus:absolute focus:left-4 focus:top-4 focus:z-[60] focus:rounded-full focus:bg-brand-800 focus:px-4 focus:py-2 focus:text-sm focus:font-semibold focus:text-white">Skip to content</a><header class="sticky top-0 z-50 border-b transition-all duration-300 border-transparent bg-cream"><div class="mx-auto w-full max-w-6xl px-5 sm:px-8 "><div class="flex h-18 items-center justify-between gap-4 py-3 sm:h-20"><a class="group flex items-center gap-2.5" href="/" data-discover="true"><span class="grid size-10 shrink-0 place-items-center rounded-xl bg-brand-900 font-display text-base font-semibold text-gold-400 shadow-sm transition-transform duration-300 group-hover:scale-105">MH</span><span class="flex flex-col"><span class="whitespace-nowrap font-display text-lg font-semibold leading-none tracking-tight text-brand-900 sm:text-xl">Matthew Harb<span class="text-gold-600">, M.D.</span></span><span class="mt-0.5 text-[0.62rem] font-medium uppercase leading-none tracking-[0.18em] text-brand-500">Hip &amp; Knee Replacement</span></span></a><nav aria-label="Primary" class="hidden items-center gap-7 xl:gap-8 lg:flex"><a class="relative text-sm font-medium transition-colors after:absolute after:-bottom-1.5 after:left-0 after:h-0.5 after:w-full after:origin-left after:scale-x-0 after:rounded-full after:bg-gold-500 after:transition-transform after:duration-300 hover:text-brand-900 text-brand-600 hover:after:scale-x-100" href="/about" data-discover="true">About</a><a aria-current="page" class="relative text-sm font-medium transition-colors after:absolute after:-bottom-1.5 after:left-0 after:h-0.5 after:w-full after:origin-left after:scale-x-0 after:rounded-full after:bg-gold-500 after:transition-transform after:duration-300 hover:text-brand-900 text-brand-900 after:scale-x-100" href="/why-dr-harb" data-discover="true">Why Dr. Harb</a><a class="relative text-sm font-medium transition-colors after:absolute after:-bottom-1.5 after:left-0 after:h-0.5 after:w-full after:origin-left after:scale-x-0 after:rounded-full after:bg-gold-500 after:transition-transform after:duration-300 hover:text-brand-900 text-brand-600 hover:after:scale-x-100" href="/hip-replacement" data-discover="true">Hip Replacement</a><a class="relative text-sm font-medium transition-colors after:absolute after:-bottom-1.5 after:left-0 after:h-0.5 after:w-full after:origin-left after:scale-x-0 after:rounded-full after:bg-gold-500 after:transition-transform after:duration-300 hover:text-brand-900 text-brand-600 hover:after:scale-x-100" href="/knee-replacement" data-discover="true">Knee Replacement</a><div class="relative"><a aria-haspopup="true" aria-expanded="false" aria-controls="patient-education-menu" class="flex items-center gap-1 text-sm font-medium transition-colors hover:text-brand-900 text-brand-600" href="/learn" data-discover="true">Patient Education<svg width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.6" stroke-linecap="round" stroke-linejoin="round" class="size-4 transition-transform duration-200 " aria-hidden="true"><path d="m6 9 6 6 6-6"></path></svg></a><div id="patient-education-menu" inert="" class="absolute left-0 top-full z-50 w-[34rem] max-w-[calc(100vw-2rem)] pt-3 transition duration-200 pointer-events-none invisible -translate-y-1 opacity-0"><div class="rounded-2xl border border-brand-100 bg-cream p-6 shadow-xl shadow-brand-950/10"><div class="grid grid-cols-2 gap-x-8"><div class="space-y-6"><div><a class="group/heading inline-flex items-center gap-1 text-xs font-semibold uppercase tracking-[0.14em] text-brand-800 hover:text-brand-950" href="/learn?topic=recovery" data-discover="true">Recovery Guides<span aria-hidden="true" class="text-gold-600 transition-transform group-hover/heading:translate-x-0.5">→</span></a><p class="mt-1 text-xs leading-relaxed text-brand-500">Surgeon-authored recovery education</p><ul class="mt-2.5 space-y-1.5"><li><a class="text-sm text-brand-600 transition-colors hover:text-brand-900" href="/learn/hip-replacement-recovery-timeline" data-discover="true">Hip Recovery Timeline</a></li><li><a class="text-sm text-brand-600 transition-colors hover:text-brand-900" href="/learn/knee-replacement-recovery-timeline" data-discover="true">Knee Recovery Timeline</a></li><li><a class="text-sm text-brand-600 transition-colors hover:text-brand-900" href="/learn/discharge-instructions-hip-knee-replacement" data-discover="true">Discharge Instructions</a></li><li><a class="text-sm text-brand-600 transition-colors hover:text-brand-900" href="/learn/preparing-for-joint-replacement-surgery" data-discover="true">Preparing for Surgery</a></li><li><a class="text-sm text-brand-600 transition-colors hover:text-brand-900" href="/learn/medications-around-joint-replacement" data-discover="true">Medications for Surgery</a></li></ul></div><div><a class="group/heading inline-flex items-center gap-1 text-xs font-semibold uppercase tracking-[0.14em] text-brand-800 hover:text-brand-950" href="/conditions" data-discover="true">Conditions<span aria-hidden="true" class="text-gold-600 transition-transform group-hover/heading:translate-x-0.5">→</span></a><p class="mt-1 text-xs leading-relaxed text-brand-500">Understand what’s causing your pain</p><ul class="mt-2.5 space-y-1.5"><li><a class="text-sm text-brand-600 transition-colors hover:text-brand-900" href="/conditions/hip-osteoarthritis" data-discover="true">Hip Osteoarthritis</a></li><li><a class="text-sm text-brand-600 transition-colors hover:text-brand-900" href="/conditions/knee-osteoarthritis" data-discover="true">Knee Osteoarthritis</a></li><li><a class="text-sm text-brand-600 transition-colors hover:text-brand-900" href="/conditions/hip-impingement-fai" data-discover="true">Hip Impingement (FAI)</a></li><li><a class="text-sm text-brand-600 transition-colors hover:text-brand-900" href="/conditions/hip-dysplasia-in-adults" data-discover="true">Hip Dysplasia</a></li><li><a class="text-sm text-brand-600 transition-colors hover:text-brand-900" href="/conditions/post-traumatic-arthritis" data-discover="true">Post-Traumatic Arthritis</a></li><li><a class="text-sm text-brand-600 transition-colors hover:text-brand-900" href="/conditions/avascular-necrosis-hip" data-discover="true">AVN of the Hip</a></li></ul></div></div><div class="space-y-6"><div><a class="group/heading inline-flex items-center gap-1 text-xs font-semibold uppercase tracking-[0.14em] text-brand-800 hover:text-brand-950" href="/learn?topic=procedures" data-discover="true">Procedure Guides<span aria-hidden="true" class="text-gold-600 transition-transform group-hover/heading:translate-x-0.5">→</span></a><p class="mt-1 text-xs leading-relaxed text-brand-500">How modern joint replacement works</p><ul class="mt-2.5 space-y-1.5"><li><a class="text-sm text-brand-600 transition-colors hover:text-brand-900" href="/learn/direct-anterior-hip-replacement" data-discover="true">Direct Anterior Hip Replacement</a></li><li><a class="text-sm text-brand-600 transition-colors hover:text-brand-900" href="/learn/what-happens-during-knee-replacement" data-discover="true">Knee Replacement</a></li><li><a class="text-sm text-brand-600 transition-colors hover:text-brand-900" href="/learn/partial-knee-replacement" data-discover="true">Partial Knee Replacement</a></li></ul></div><div><a class="group/heading inline-flex items-center gap-1 text-xs font-semibold uppercase tracking-[0.14em] text-brand-800 hover:text-brand-950" href="/treatments" data-discover="true">Nonsurgical Treatments<span aria-hidden="true" class="text-gold-600 transition-transform group-hover/heading:translate-x-0.5">→</span></a><p class="mt-1 text-xs leading-relaxed text-brand-500">Cortisone, gel &amp; PRP injections</p><ul class="mt-2.5 space-y-1.5"><li><a class="text-sm text-brand-600 transition-colors hover:text-brand-900" href="/regenerative-medicine" data-discover="true">Regenerative Medicine (PRP)</a></li><li><a class="text-sm text-brand-600 transition-colors hover:text-brand-900" href="/treatments/cortisone-injections" data-discover="true">Cortisone (Steroid)</a></li><li><a class="text-sm text-brand-600 transition-colors hover:text-brand-900" href="/treatments/hyaluronic-acid-injections" data-discover="true">Hyaluronic Acid (Gel)</a></li><li><a class="text-sm text-brand-600 transition-colors hover:text-brand-900" href="/treatments/prp-for-arthritis" data-discover="true">Platelet Rich Plasma (PRP)</a></li></ul></div><div><a class="group/heading inline-flex items-center gap-1 text-xs font-semibold uppercase tracking-[0.14em] text-brand-800 hover:text-brand-950" href="/perspective" data-discover="true">Perspective<span aria-hidden="true" class="text-gold-600 transition-transform group-hover/heading:translate-x-0.5">→</span></a><ul class="mt-2.5 space-y-1.5"><li><a class="text-sm text-brand-600 transition-colors hover:text-brand-900" href="/perspective" data-discover="true">My Educational Mission</a></li></ul></div><div><a class="group/heading inline-flex items-center gap-1 text-xs font-semibold uppercase tracking-[0.14em] text-brand-800 hover:text-brand-950" href="/patient-resources" data-discover="true">
34Resources<span aria-hidden="true" class="text-gold-600 transition-transform group-hover/heading:translate-x-0.5">→</span></a><p class="mt-1 text-xs leading-relaxed text-brand-500">Handbooks, guides &amp; FAQs</p><ul class="mt-2.5 space-y-1.5"><li><a class="text-sm text-brand-600 transition-colors hover:text-brand-900" href="/patient-resources#guides" data-discover="true">Recovery Handbooks</a></li><li><a class="text-sm text-brand-600 transition-colors hover:text-brand-900" href="/second-opinion" data-discover="true">Second Opinion</a></li><li><a class="text-sm text-brand-600 transition-colors hover:text-brand-900" href="/insurance" data-discover="true">Insurance &amp; Payment</a></li></ul></div></div></div></div></div></div><a class="relative text-sm font-medium transition-colors after:absolute after:-bottom-1.5 after:left-0 after:h-0.5 after:w-full after:origin-left after:scale-x-0 after:rounded-full after:bg-gold-500 after:transition-transform after:duration-300 hover:text-brand-900 text-brand-600 hover:after:scale-x-100" href="/locations" data-discover="true">Locations</a><a class="relative text-sm font-medium transition-colors after:absolute after:-bottom-1.5 after:left-0 after:h-0.5 after:w-full after:origin-left after:scale-x-0 after:rounded-full after:bg-gold-500 after:transition-transform after:duration-300 hover:text-brand-900 text-brand-600 hover:after:scale-x-100" href="/contact" data-discover="true">Contact</a></nav><div class="hidden items-center gap-4 lg:flex"><a href="tel:+12028352222" class="group flex items-center gap-2 text-sm font-semibold text-brand-700 transition-colors hover:text-brand-900"><svg width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.6" stroke-linecap="round" stroke-linejoin="round" class="size-4 text-gold-600 transition-transform group-hover:-rotate-6" aria-hidden="true"><path d="M22 16.92v3a2 2 0 0 1-2.18 2 19.79 19.79 0 0 1-8.63-3.07 19.5 19.5 0 0 1-6-6 19.79 19.79 0 0 1-3.07-8.67A2 2 0 0 1 4.11 2h3a2 2 0 0 1 2 1.72c.13.96.36 1.9.7 2.81a2 2 0 0 1-.45 2.11L8.09 9.91a16 16 0 0 0 6 6l1.27-1.27a2 2 0 0 1 2.11-.45c.91.34 1.85.57 2.81.7A2 2 0 0 1 22 16.92Z"></path></svg>(202) 835-2222</a><span aria-hidden="true" class="h-5 w-px bg-brand-200"></span><a class="inline-flex items-center justify-center gap-2 rounded-full font-semibold transition-colors duration-200 bg-brand-700 text-white hover:bg-brand-800 shadow-sm shadow-brand-900/10 px-5 py-2.5 text-sm " href="/contact" data-discover="true"><svg width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.6" stroke-linecap="round" stroke-linejoin="round" class="size-4" aria-hidden="true"><rect x="3" y="5" width="18" height="16" rx="2"></rect><path d="M3 9h18M8 3v4M16 3v4"></path></svg>Book Appointment</a></div><button type="button" aria-expanded="false" aria-controls="mobile-menu" aria-label="Open menu" class="inline-flex items-center justify-center rounded-full p-2 text-brand-800 transition-colors hover:bg-brand-50 lg:hidden"><svg width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.6" stroke-linecap="round" stroke-linejoin="round" class="size-6" aria-hidden="true"><path d="M4 6h16M4 12h16M4 18h16"></path></svg></button></div></div><div id="mobile-menu" class="overflow-y-auto border-t border-brand-100 bg-cream transition-[max-height,opacity] duration-300 lg:hidden max-h-0 opacity-0"><div class="mx-auto w-full max-w-6xl px-5 sm:px-8 pb-8 pt-2"><nav aria-label="Mobile" class="flex flex-col"><a class="flex items-center justify-between border-b border-brand-100 py-3.5 text-base font-medium transition-colors text-brand-600" href="/about" data-discover="true">About</a><a aria-current="page" class="flex items-center justify-between border-b border-brand-100 py-3.5 text-base font-medium transition-colors text-brand-900" href="/why-dr-harb" data-discover="true">Why Dr. Harb</a><a class="flex items-center justify-between border-b border-brand-100 py-3.5 text-base font-medium transition-colors text-brand-600" href="/hip-replacement" data-discover="true">Hip Replacement</a><a class="flex items-center justify-between border-b border-brand-100 py-3.5 text-base font-medium transition-colors text-brand-600" href="/knee-replacement" data-discover="true">Knee Replacement</a><div class="border-b border-brand-100"><div class="flex w-full items-center justify-between"><button type="button" class="flex-1 py-3.5 text-left text-base font-medium text-brand-700">Patient Education</button><button type="button" aria-expanded="false" aria-controls="mobile-education" aria-label="Expand Patient Education menu" class="-mr-2 px-2 py-3.5 text-brand-700"><svg width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.6" stroke-linecap="round" stroke-linejoin="round" class="size-5 transition-transform duration-200 " aria-hidden="true"><path d="m6 9 6 6 6-6"></path></svg></button></div><div id="mobile-education" hidden="" class="pb-4"><div class="mt-3 first:mt-0"><a class="text-[0.7rem] font-semibold uppercase tracking-[0.16em] text-gold-600" href="/learn?topic=recovery" data-discover="true">Recovery Guides</a><ul class="mt-1.5 space-y-1.5 pl-3"><li><a class="block py-1 text-sm text-brand-600" href="/learn/hip-replacement-recovery-timeline" data-discover="true">Hip Recovery Timeline</a></li><li><a class="block py-1 text-sm text-brand-600" href="/learn/knee-replacement-recovery-timeline" data-discover="true">Knee Recovery Timeline</a></li><li><a class="block py-1 text-sm text-brand-600" href="/learn/discharge-instructions-hip-knee-replacement" data-discover="true">Discharge Instructions</a></li><li><a class="block py-1 text-sm text-brand-600" href="/learn/preparing-for-joint-replacement-surgery" data-discover="true">Preparing for Surgery</a></li><li><a class="block py-1 text-sm text-brand-600" href="/learn/medications-around-joint-replacement" data-discover="true">Medications for Surgery</a></li></ul></div><div class="mt-3 first:mt-0"><a class="text-[0.7rem] font-semibold uppercase tracking-[0.16em] text-gold-600" href="/conditions" data-discover="true">Conditions</a><ul class="mt-1.5 space-y-1.5 pl-3"><li><a class="block py-1 text-sm text-brand-600" href="/conditions/hip-osteoarthritis" data-discover="true">Hip Osteoarthritis</a></li><li><a class="block py-1 text-sm text-brand-600" href="/conditions/knee-osteoarthritis" data-discover="true">Knee Osteoarthritis</a></li><li><a class="block py-1 text-sm text-brand-600" href="/conditions/hip-impingement-fai" data-discover="true">Hip Impingement (FAI)</a></li><li><a class="block py-1 text-sm text-brand-600" href="/conditions/hip-dysplasia-in-adults" data-discover="true">Hip Dysplasia</a></li><li><a class="block py-1 text-sm text-brand-600" href="/conditions/post-traumatic-arthritis" data-discover="true">Post-Traumatic Arthritis</a></li><li><a class="block py-1 text-sm text-brand-600" href="/conditions/avascular-necrosis-hip" data-discover="true">AVN of the Hip</a></li></ul></div><div class="mt-3 first:mt-0"><a class="text-[0.7rem] font-semibold uppercase tracking-[0.16em] text-gold-600" href="/learn?topic=procedures" data-discover="true">Procedure Guides</a><ul class="mt-1.5 space-y-1.5 pl-3"><li><a class="block py-1 text-sm text-brand-600" href="/learn/direct-anterior-hip-replacement" data-discover="true">Direct Anterior Hip Replacement</a></li><li><a class="block py-1 text-sm text-brand-600" href="/learn/what-happens-during-knee-replacement" data-discover="true">Knee Replacement</a></li><li><a class="block py-1 text-sm text-brand-600" href="/learn/partial-knee-replacement" data-discover="true">Partial Knee Replacement</a></li></ul></div><div class="mt-3 first:mt-0"><a class="text-[0.7rem] font-semibold uppercase tracking-[0.16em] text-gold-600" href="/treatments" data-discover="true">Nonsurgical Treatments</a><ul class="mt-1.5 space-y-1.5 pl-3"><li><a class="block py-1 text-sm text-brand-600" href="/regenerative-medicine" data-discover="true">Regenerative Medicine (PRP)</a></li><li><a class="block py-1 text-sm text-brand-600" href="/treatments/cortisone-injections" data-discover="true">Cortisone (Steroid)</a></li><li><a class="block py-1 text-sm text-brand-600" href="/treatments/hyaluronic-acid-injections" data-discover="true">Hyaluronic Acid (Gel)</a></li><li><a class="block py-1 text-sm text-brand-600" href="/treatments/prp-for-arthritis" data-discover="true">Platelet Rich Plasma (PRP)</a></li></ul></div><div class="mt-3 first:mt-0"><a class="text-[0.7rem] font-semibold uppercase tracking-[0.16em] text-gold-600" href="/perspective" data-discover="true">Perspective</a><ul class="mt-1.5 space-y-1.5 pl-3"><li><a class="block py-1 text-sm text-brand-600" href="/perspective" data-discover="true">My Educational Mission</a></li></ul></div><div class="mt-3 first:mt-0"><a class="text-[0.7rem] font-semibold uppercase tracking-[0.16em] text-gold-600" href="/patient-resources" data-discover="true">Resources</a><ul class="mt-1.5 space-y-1.5 pl-3"><li><a class="block py-1 text-sm text-brand-600" href="/patient-resources#guides" data-discover="true">Recovery Handbooks</a></li><li><a class="block py-1 text-sm text-brand-600" href="/second-opinion" data-discover="true">Second Opinion</a></li><li><a class="block py-1 text-sm text-brand-600" href="/insurance" data-discover="true">Insurance &amp; Payment</a></li></ul></div><a class="mt-4 inline-flex items-center gap-1 text-sm font-medium text-gold-600" href="/learn" data-discover="true">View all patient education<svg width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.6" stroke-linecap="round" stroke-linejoin="round" class="size-4 -rotate-90" aria-hidden="true"><path d="m6 9 6 6 6-6"></path></svg></a></div></div><a class="flex items-center justify-between border-b 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34<script type="application/ld+json">{"@context":"https://schema.org","@graph":[{"@type":"MedicalWebPage","@id":"https://www.matthewharbmd.com/why-dr-harb","url":"https://www.matthewharbmd.com/why-dr-harb","name":"Choosing Your Hip or Knee Replacement Surgeon in Washington, D.C.","description":"How to choose a hip or knee replacement surgeon in the Washington, D.C. region — surgeon volume, fellowship training, and Dr. Matthew Harb’s approach to deciding when to operate.","inLanguage":"en-US","about":{"@type":"Physician","@id":"https://www.matthewharbmd.com/#physician","name":"Matthew Harb, M.D.","medicalSpecialty":"Orthopedic","url":"https://www.matthewharbmd.com"},"isPartOf":{"@type":"WebSite","name":"Matthew Harb, M.D.","url":"https://www.matthewharbmd.com"}},{"@type":"FAQPage","@id":"https://www.matthewharbmd.com/why-dr-harb#faq","mainEntity":[{"@type":"Question","name":"How do I choose a hip or knee replacement surgeon?","acceptedAnswer":{"@type":"Answer","text":"Look at how often the surgeon performs the specific operation you need, whether they completed fellowship training in adult reconstruction, and whether they are willing to tell you when not to operate. Volume matters because joint replacement is a technical operation that rewards repetition. Fellowship training matters because it is the year spent doing nothing but hips and knees. And a surgeon who only ever recommends surgery is telling you something about how they make decisions."}},{"@type":"Question","name":"How many joint replacements should a surgeon perform each year?","acceptedA
34nswer":{"@type":"Answer","text":"Higher-volume surgeons and higher-volume hospitals have consistently better outcomes in the published literature — lower complication rates, lower infection rates, and fewer revisions. There is no single magic number, but you want someone for whom this is the main thing they do rather than one of many procedures they offer. I perform more than 600 hip and knee replacements a year."}},{"@type":"Question","name":"What should I ask at a joint replacement consultation?","acceptedAnswer":{"@type":"Answer","text":"How many of these do you do a year? Am I a candidate yet, or is it too early? What happens if I wait? Which approach do you use and why? What does recovery actually look like week by week? And what would make you tell me not to have this surgery? That last question tells you the most about the surgeon answering it."}},{"@type":"Question","name":"Where does Dr. Harb see patients and operate?","acceptedAnswer":{"@type":"Answer","text":"Patients are seen at the Washington, D.C. office at 1015 18th Street NW and at the Germantown, Maryland office on Observation Drive, serving the wider D.C., Maryland and Northern Virginia region. Surgery is performed at accredited hospitals and surgery centers in the area, with many patients going home the same day."}},{"@type":"Question","name":"Do I need a referral to be seen?","acceptedA
34nswer":{"@type":"Answer","text":"Most patients do not, though some insurance plans require one — it is worth checking with your plan. You can call the office directly to arrange a consultation. If it turns out your problem is not something I treat, or you are not ready for surgery, you will be told that plainly rather than scheduled for something you do not need."}},{"@type":"Question","name":"What if I am not ready for a joint replacement yet?","acceptedAnswer":{"@type":"Answer","text":"Then you should not have one, and I will tell you so. A large part of what I do in the office is deciding that someone is too early, and going through what to do in the meantime — activity changes, strengthening, weight, injections. Coming in does not commit you to surgery; it tells you where you actually stand."}}]},{"@type":"BreadcrumbList","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.matthewharbmd.com"},{"@type":"ListItem","position":2,"name":"Why Dr. Harb","item":"https://www.matthewharbmd.com/why-dr-harb"}]}]}</script>
34<section class="relative overflow-hidden bg-brand-900 text-white"><div aria-hidden="true" class="pointer-events-none absolute inset-0 opacity-70" style="background: radial-gradient(60% 80% at 85% 0%, rgba(205, 168, 107, 0.16), transparent 60%), radial-gradient(50% 70% at 0% 100%, rgba(143, 184, 191, 0.18), transparent 55%);"></div><div class="mx-auto w-full max-w-6xl px-5 sm:px-8 relative py-16 sm:py-20 lg:py-24"><div class="max-w-3xl animate-rise"><span class="inline-flex items-center gap-2 text-xs font-semibold uppercase tracking-[0.18em] text-gold-600 text-gold-400"><span class="h-px w-6 bg-gold-500/60" aria-hidden="true"></span>Why patients choose Dr. Harb</span><h1 class="mt-4 text-4xl font-semibold leading-[1.08] sm:text-5xl">A thoughtful, experienced approach to hip &amp; knee replacement</h1><p class="mt-5 max-w-2xl text-lg leading-relaxed text-brand-200">If you’re deciding whom to trust with your hip or knee replacement in D.C., Maryland, or Northern Virginia, you deserve more than a list of credentials. Here is how I think about this surgery, how I’m trained to do it, and what I believe matters most for your result.</p></div></div></section><section class="py-16 sm:py-20 lg:py-24 bg-sand/40"><div class="mx-auto w-full max-w-6xl px-5 sm:px-8 "><div class="grid items-center gap-10 lg:grid-cols-12"><div class="lg:col-span-5"><div class="relative overflow-hidden rounded-3xl aspect-[5/4] ring-1 ring-brand-100"><img alt="Matthew Harb, M.D., orthopedic hip and knee replacement surgeon" loading="lazy" fetchpriority="auto" decoding="async" class="absolute inset-0 size-full object-cover" src="/images/harb-why.jpg"></div></div><div class="lg:col-span-7"><span class="inline-flex items-center gap-2 text-xs font-semibold uppercase tracking-[0.18em] text-gold-600 "><span class="h-px w-6 bg-gold-500/60" aria-hidden="true"></span>Meet your surgeon</span><h2 class="mt-4 text-3xl font-semibold text-brand-900 sm:text-4xl">Hi — I'm Dr. Matthew Harb</h2><div class="mt-5 space-y-5 text-lg leading-relaxed text-brand-700"><p>I'm a <strong>board-certified orthopedic surgeon, fellowship-trained in adult reconstruction and joint replacement</strong> at the University of Virginia, and my practice is <strong>focused on hip and knee replacement.</strong></p><p>Joint replacement isn't just the surgery itself — it's <strong>implant selection, alignment, surgical technique, and recovery.</strong> By focusing the majority of my practice on these two operations, I've developed deep experience with the wide variety of situations, anatomies, and challenges that can come up before, during, and after surgery.</p></div><div class="mt-8 rounded-3xl bg-brand-900 px-8 py-7 text-white shadow-sm"><p class="font-display text-5xl font-semibold leading-none text-gold-400 sm:text-6xl">600+</p><p class="mt-2 text-sm font-medium uppercase tracking-[0.12em] text-brand-200">Joint replacements performed each year</p><div class="mt-5 flex flex-wrap gap-x-8 gap-y-3 text-sm text-brand-100"><span><strong class="text-white">5,000+</strong> hip &amp; knee replacements to date</span><span><strong class="text-white">10+ years</strong> of focused practice</span></div></div></div></div></div></section><section class="py-16 sm:py-20 lg:py-24 "><div class="mx-auto w-full max-w-6xl px-5 sm:px-8 "><div class="mx-auto max-w-3xl"><span class="inline-flex items-center gap-2 text-xs font-semibold uppercase tracking-[0.18em] text-gold-600 "><span class="h-px w-6 bg-gold-500/60" aria-hidden="true"></span>My philosophy</span><h2 class="mt-4 text-3xl font-semibold text-brand-900 sm:text-4xl">We treat patients, not X-rays</h2><div class="mt-5 space-y-5 text-lg leading-relaxed text-brand-700"><p>The single idea that guides my practice is simple: <strong>we treat patients, not X-rays.</strong> Two people can have identical-looking imaging and live completely different lives — what matters is how your hip or knee is affecting <em>you.</em></p><p>I believe surgery should exist for one reason: to <strong>improve your quality of life.</strong> There is no prize for suffering, and no need to wait until you can barely walk. The goal isn't a better picture on a film — it's helping you return to the activities you love, on your timeline.</p><p>
34And I think of recovery as something that <strong>begins before surgery and continues long after it</strong> — not a single event in an operating room, but a process we go through together.</p></div></div></div></section><section class="py-16 sm:py-20 lg:py-24 bg-sand/40"><div class="mx-auto w-full max-w-6xl px-5 sm:px-8 "><div class="mx-auto max-w-3xl"><span class="inline-flex items-center gap-2 text-xs font-semibold uppercase tracking-[0.18em] text-gold-600 "><span class="h-px w-6 bg-gold-500/60" aria-hidden="true"></span>My approach — hip</span><h2 class="mt-4 text-3xl font-semibold text-brand-900 sm:text-4xl">How I approach hip replacement</h2><h3 class="mt-8 font-display text-xl font-semibold text-brand-900">Minimally invasive, muscle-sparing surgery</h3><p class="mt-3 leading-relaxed text-brand-700">I specialize in the <a class="font-semibold text-brand-800 underline-offset-2 hover:underline" href="/learn/direct-anterior-hip-replacement" data-discover="true">direct anterior approach</a>, which works <em>between</em> the muscles rather than cutting through them. Preserving that muscle is what allows many patients to move early and recover comfortably — the foundation of a faster-recovery philosophy.</p><h3 class="mt-8 font-display text-xl font-semibold text-brand-900">Precision through technology</h3><p class="mt-3 leading-relaxed text-brand-700">I use <strong>digital templating</strong> before surgery and <strong>intraoperative fluoroscopy and computer navigation</strong> during it to <strong>confirm implant position and size</strong> and ensure the plan is executed precisely. I want to be clear about what this is and isn't: <strong>technology supports surgical decision-making and precision — it doesn't replace it.</strong> The judgment is still the surgeon's; the tools simply help execute it well.</p><h3 class="mt-8 font-display text-xl font-semibold text-brand-900">Modern implant design</h3><p class="mt-3 leading-relaxed text-brand-700">I use durable, well-proven modern implants — including a <strong>modern triple-taper titanium stem</strong> with porous surfaces that allow your own bone to grow in and secure it — paired with bearing materials chosen with long-term wear and hypoallergenic considerations in mind. Modern implants demonstrate <a class="font-semibold text-brand-800 underline-offset-2 hover:underline" href="/learn/how-long-does-a-hip-replacement-last" data-discover="true">excellent long-term durability</a> — more than 90% intact at 30 years — though every patient and implant is individual.</p></div></div></section><section class="py-16 sm:py-20 lg:py-24 "><div class="mx-auto w-full max-w-6xl px-5 sm:px-8 "><div class="mx-auto max-w-3xl"><span class="inline-flex items-center gap-2 text-xs font-semibold uppercase tracking-[0.18em] text-gold-600 "><span class="h-px w-6 bg-gold-500/60" aria-hidden="true"></span>My approach — knee</span><h2 class="mt-4 text-3xl font-semibold text-brand-900 sm:text-4xl">How I approach knee replacement</h2><h3 class="mt-8 font-display text-xl font-semibold text-brand-900">Minimally invasive, soft-tissue–respecting surgery</h3><p class="mt-3 leading-relaxed text-brand-700">My knee technique is built around <strong>respecting the soft tissues</strong> — preserving muscle and minimizing unnecessary disruption — because gentler handling supports a smoother, recovery-focused course. Where it's the right fit, that includes <a class="font-semibold text-brand-800 underline-offset-2 hover:underline" href="/learn/partial-knee-replacement" data-discover="true">partial knee replacement</a>, which preserves the healthy parts of the knee.</p><h3 class="mt-8 font-display text-xl font-semibold text-brand-900">A modern, individualized alignment philosophy</h3><p class="mt-3 leading-relaxed text-brand-700">How a knee is aligned has a real effect on how it feels and functions. I draw on a combination of <strong>mechanical and kinematic alignment principles</strong>, tailored to the individual rather than applied as a one-size-fits-all rule — a patient-specific decision about what will give <em>your</em> knee the most natural, comfortable result.</p><h3 class="mt-8 font-display text-xl font-semibold text-brand-900">Precision through patient-specific planning</h3><p class="mt-3 leading-relaxed text-brand-700">For knee replacement, I rely on detailed <strong>
34preoperative templating with computer software</strong> to plan each procedure around your specific anatomy. That plan — including <strong>implant sizing, alignment, and bone resections</strong> — is then carried into the operating room and guides the procedure. Careful planning before surgery helps support <strong>accurate implant positioning, appropriate alignment, and consistent execution</strong> of a strategy tailored to your knee.</p><h3 class="mt-8 font-display text-xl font-semibold text-brand-900">Modern implant designs</h3><p class="mt-3 leading-relaxed text-brand-700">I favor implant designs — including <strong>medial-pivot</strong> concepts — engineered for stable, natural-feeling knee mechanics, and I select the implant to fit the patient rather than the other way around.</p></div></div></section><section class="py-16 sm:py-20 lg:py-24 bg-sand/40"><div class="mx-auto w-full max-w-6xl px-5 sm:px-8 "><div class="mx-auto max-w-3xl"><span class="inline-flex items-center gap-2 text-xs font-semibold uppercase tracking-[0.18em] text-gold-600 "><span class="h-px w-6 bg-gold-500/60" aria-hidden="true"></span>Common concerns</span><h2 class="mt-4 text-3xl font-semibold text-brand-900 sm:text-4xl">What patients ask me most</h2><p class="mt-5 leading-relaxed text-brand-700">Honest answers to the questions I hear at almost every consultation.</p><dl class="mt-10 space-y-8"><div class="border-t border-brand-200 pt-7 first:border-t-0 first:pt-0"><dt class="font-display text-xl font-semibold text-brand-900">Will it hurt?</dt><dd class="mt-2 leading-relaxed text-brand-700">Modern joint replacement isn't the painful experience it used to be. I use multimodal, opioid-sparing pain control built around spinal anesthesia and regional nerve blocks — and most patients are up and walking the <em>same day,</em> not lying in bed waiting for it to pass. Discomfort is real, but it's manageable, and it's short-lived for most people.</dd></div><div class="border-t border-brand-200 pt-7"><dt class="font-display text-xl font-semibold text-brand-900">How long until I'm back on my feet?</dt><dd class="mt-2 leading-relaxed text-brand-700">Most of my patients are standing and walking the same day as surgery, often going home a few hours later. The first two weeks focus on early mobility and protecting the new joint. By four to six weeks most patients are walking comfortably with minimal assistance and returning to many normal activities. Every recovery is individual — <a href="https://jointbooklet.com" target="_blank" rel="noopener noreferrer" class="font-semibold text-brand-800 underline-offset-2 hover:underline">JointBooklet</a> walks you through the milestones step by step.</dd></div><div class="border-t border-brand-200 pt-7"><dt class="font-display text-xl font-semibold text-brand-900">Will I be able to get back to the activities I love?</dt><dd class="mt-2 leading-relaxed text-brand-700">For most patients, yes — and returning to the activities you love is the whole point of doing this. Modern implants are designed for an active life: <a class="font-semibold text-brand-800 underline-offset-2 hover:underline" href="/learn/returning-to-golf-after-hip-knee-replacement" data-discover="true">golf</a>, <a class="font-semibold text-brand-800 underline-offset-2 hover:underline" href="/learn/returning-to-travel-after-hip-knee-replacement" data-discover="true">travel</a>, hiking, cycling, tennis, pickleball, the gym, and keeping up with family are all routine after replacement. High-impact activities I'll talk through with you honestly and individually.</dd></div><div class="border-t border-brand-200 pt-7"><dt class="font-display text-xl font-semibold text-brand-900">How long will the implant last?</dt><dd class="mt-2 leading-relaxed text-brand-700">Modern hip and knee implants have excellent long-term durability — <strong>more than 90% of hip replacements</strong> and <strong>around 75% of knee replacements</strong> remain intact at 30 years in current data. The technology has improved dramatically; for most patients today, a joint replacement is a once-in-a-lifetime procedure.</dd></div><div class="border-t border-brand-200 pt-7"><dt class="font-display text-xl font-semibold text-brand-900">What if something doesn't feel right after surgery?</dt><dd class="mt-2 leading-relaxed text-brand-700">
34You can reach me and my team. The biggest gap I saw in joint replacement care was patients feeling alone in their recovery — which is part of why I built <a href="https://jointbooklet.com" target="_blank" rel="noopener noreferrer" class="font-semibold text-brand-800 underline-offset-2 hover:underline">JointBooklet</a>. Between in-person follow-ups, you have guided recovery education, milestone tracking, and a clear way to get answers when something comes up. You shouldn't have to wonder if what you're feeling is normal.</dd></div></dl></div></div></section><section class="py-16 sm:py-20 lg:py-24 bg-brand-900 text-white"><div class="mx-auto w-full max-w-6xl px-5 sm:px-8 "><div class="mx-auto max-w-3xl"><span class="inline-flex items-center gap-2 text-xs font-semibold uppercase tracking-[0.18em] text-gold-600 text-gold-400"><span class="h-px w-6 bg-gold-500/60" aria-hidden="true"></span>Enhanced recovery</span><h2 class="mt-4 text-3xl font-semibold sm:text-4xl">Recovery designed around your comfort and safety</h2><p class="mt-5 leading-relaxed text-brand-200">A great operation is only half of a great result — how you recover matters just as much. My practice is built on modern <strong class="text-white">rapid-recovery (ERAS)</strong> protocols:</p><ul class="mt-6 space-y-3 text-brand-100"><li class="flex items-start gap-3"><span aria-hidden="true" class="mt-2 size-1.5 shrink-0 rounded-full bg-gold-400"></span><span class="leading-relaxed">Multimodal, opioid-sparing pain management</span></li><li class="flex items-start gap-3"><span aria-hidden="true" class="mt-2 size-1.5 shrink-0 rounded-full bg-gold-400"></span><span class="leading-relaxed">Spinal anesthesia and regional nerve blocks for comfort and a clearer recovery</span></li><li class="flex items-start gap-3"><span aria-hidden="true" class="mt-2 size-1.5 shrink-0 rounded-full bg-gold-400"></span><span class="leading-relaxed">Getting you up and walking early</span></li><li class="flex items-start gap-3"><span aria-hidden="true" class="mt-2 size-1.5 shrink-0 rounded-full bg-gold-400"></span><span class="leading-relaxed">Same-day (outpatient) joint replacement when it’s the right, safe choice for you</span></li></ul><p class="mt-6 leading-relaxed text-brand-200">The aim of all of it is the same: to help you recover <strong class="text-white">comfortably and safely</strong>. You can read more about <a class="font-semibold text-gold-300 underline-offset-2 hover:underline" href="/learn/outpatient-same-day-joint-replacement" data-discover="true">same-day joint replacement</a> and how I think about medications in recovery.</p></div></div></section><section class="py-16 sm:py-20 lg:py-24 "><div class="mx-auto w-full max-w-6xl px-5 sm:px-8 "><div class="mx-auto max-w-3xl"><span class="inline-flex items-center gap-2 text-xs font-semibold uppercase tracking-[0.18em] text-gold-600 "><span class="h-px w-6 bg-gold-500/60" aria-hidden="true"></span>Beyond the operating room</span><h2 class="mt-4 text-3xl font-semibold text-brand-900 sm:text-4xl">Where I'm genuinely different</h2><p class="mt-5 leading-relaxed text-brand-700">I think the biggest gap in most patients' experience isn't the surgery — it's everything <em>around</em> it. So I've put real effort into <strong>education and ongoing guidance</strong>: detailed <a class="font-semibold text-brand-800 underline-offset-2 hover:underline" href="/learn/hip-replacement-recovery-timeline" data-discover="true">recovery timelines</a>, <a class="font-semibold text-brand-800 underline-offset-2 hover:underline" href="/learn/exercises-before-joint-replacement" data-discover="true">preparation and exercise resources</a>, and a full <a class="font-semibold text-brand-800 underline-offset-2 hover:underline" href="/learn" data-discover="true">patient-education library</a>. You can also read my broader <a class="font-semibold text-brand-800 underline-offset-2 hover:underline" href="/perspective" data-discover="true">perspective on patient education and recovery</a>.</p><h3 class="mt-10 font-display text-2xl font-semibold text-brand-900">JointBooklet — a recovery platform I built for my patients</h3><p class="mt-3 leading-relaxed text-brand-700">I built <a href="https://jointbooklet.com" target="_blank" rel="noopener noreferrer" class="font-semibold text-brand-800 underline-offset-2 hover:underline">JointBooklet</a> because I felt patients deserved more guidance after surgery than a printed packet and a follow-up a
34ppointment. It provides recovery tracking, milestone guidance, structured visit summaries, and ongoing support throughout the recovery process — built around your return to the activities that matter to you. <a href="https://jointbooklet.com" target="_blank" rel="noopener noreferrer" class="font-semibold text-brand-800 underline-offset-2 hover:underline">Visit JointBooklet →</a></p><div class="relative overflow-hidden rounded-3xl aspect-[16/9] mt-6 ring-1 ring-brand-100"><img alt="JointBooklet — surgeon-designed orthopedic recovery platform built by Dr. Harb" loading="lazy" fetchpriority="auto" decoding="async" class="absolute inset-0 size-full object-cover" src="/images/jointbooklet.jpg"></div></div></div></section><section class="py-16 sm:py-20 lg:py-24 bg-sand/40"><div class="mx-auto w-full max-w-6xl px-5 sm:px-8 "><div class="mx-auto max-w-3xl"><span class="inline-flex items-center gap-2 text-xs font-semibold uppercase tracking-[0.18em] text-gold-600 "><span class="h-px w-6 bg-gold-500/60" aria-hidden="true"></span>Active-lifestyle focus</span><h2 class="mt-4 text-3xl font-semibold text-brand-900 sm:text-4xl">Getting you back to what matters</h2><p class="mt-5 leading-relaxed text-brand-700">When I ask patients what they want, the answer is almost never “a better X-ray.” It's <a class="font-semibold text-brand-800 underline-offset-2 hover:underline" href="/learn/returning-to-golf-after-hip-knee-replacement" data-discover="true">golf</a>, <a class="font-semibold text-brand-800 underline-offset-2 hover:underline" href="/learn/returning-to-travel-after-hip-knee-replacement" data-discover="true">travel</a>, hiking, walking the neighborhood, getting back to the gym, and keeping up with family. Restoring those things — your quality of life and the activities most important to you — is the whole point of the work.</p></div></div></section><section class="py-16 sm:py-20 lg:py-24 "><div class="mx-auto w-full max-w-6xl px-5 sm:px-8 "><div class="mx-auto max-w-3xl"><span class="inline-flex items-center gap-2 text-xs font-semibold uppercase tracking-[0.18em] text-gold-600 "><span class="h-px w-6 bg-gold-500/60" aria-hidden="true"></span>Why this work</span><h2 class="mt-4 text-3xl font-semibold text-brand-900 sm:text-4xl">Why I chose joint replacement surgery</h2><div class="mt-5 space-y-5 leading-relaxed text-brand-700"><p>What drew me to joint replacement surgery is its ability to make a meaningful difference in people's lives. Patients often come to me after years of pain, limited mobility, and missed opportunities. Helping someone return to walking comfortably, traveling, golfing, exercising, or simply enjoying daily life again is incredibly rewarding.</p><p>Joint replacement combines technical precision with a clear purpose: restoring quality of life. That combination is what continues to make it such a fulfilling part of my practice.</p></div></div></div></section><section class="py-16 sm:py-20 lg:py-24 "><div class="mx-auto w-full max-w-6xl px-5 sm:px-8 "><div class="mx-auto max-w-3xl"><span class="inline-flex items-center gap-2 text-xs font-semibold uppercase tracking-[0.18em] text-gold-600 "><span class="h-px w-6 bg-gold-500/60" aria-hidden="true"></span>In our patients' words</span><h2 class="mt-4 text-3xl font-semibold text-brand-900 sm:text-4xl">What patients commonly tell me</h2><div class="mt-8 grid gap-3 sm:grid-cols-2"><p class="rounded-2xl bg-brand-50 px-5 py-4 font-display text-brand-800 ring-1 ring-brand-100">“I wish I had done it sooner.”</p><p class="rounded-2xl bg-brand-50 px-5 py-4 font-display text-brand-800 ring-1 ring-brand-100">“I was nervous about surgery.”</p><p class="rounded-2xl bg-brand-50 px-5 py-4 font-display text-brand-800 ring-1 ring-brand-100">“I just wanted my life back.”</p><p class="rounded-2xl bg-brand-50 px-5 py-4 font-display text-brand-800 ring-1 ring-brand-100">“I wanted to get back to golf, travel, and exercise.”</p></div></div></div></section><section class="py-16 sm:py-20 lg:py-24 bg-sand/40"><div class="mx-auto w-full max-w-6xl px-5 sm:px-8 "><div class="mx-auto max-w-3xl"><span class="inline-flex items-center gap-2 text-xs font-semibold uppercase tracking-[0.18em] text-gold-600 "><span class="h-px w-6 bg-gold-500/60" aria-hidden="true"></span>Choosing a surgeon</span><h2 class="mt-4 text-3xl font-semibold text-brand-900 sm:text-4xl">Questions worth asking any surgeon</h2><p class="mt-5 leading-relaxed text-brand-700">These are the questions I would want answered if I were the patient — and they are worth asking whoever you see, not only me. If you want the fuller version, it is in <a class="font-semibold text-brand-800 underline-offset-2 hover:underline" href="/learn/how-to-choose-a-hip-and-knee-replacement-surgeon" data-discover="true">how to choose a hip and knee replacement surgeon</a>.</p><div class="mt-8"><div class="divide-y divide-brand-100 overflow-hidden rounded-2xl bg-white ring-1 ring-brand-100"><details class="group"><summary class="flex cursor-pointer list-none items-center justify-between gap-4 px-6 py-5 font-medium text-brand-900 transition-colors hover:bg-brand-50/60">How do I choose a hip or knee replacement surgeon?<span aria-hidden="true" class="grid size-6 shrink-0 place-items-center rounded-full bg-brand-100 text-brand-700 transition-transform duration-200 group-open:rotate-45"><svg viewBox="0 0 24 24" class="size-3.5" fill="none" stroke="currentColor" stroke-width="2.2" stroke-linecap="round"><path d="M12 5v14M5 12h14"></path></svg></span></summary><p class="px-6 pb-6 text-brand-600 leading-relaxed">Look at how often the surgeon performs the specific operation you need, whether they completed fellowship training in adult reconstruction, and whether they are willing to tell you when not to operate. Volume matters because joint replacement is a technical operation that rewards repetition. Fellowship training matters because it is the year spent doing nothing but hips and knees. And a surgeon who only ever recommends surgery is telling you something about how they make decisions.</p></details>
34<details class="group"><summary class="flex cursor-pointer list-none items-center justify-between gap-4 px-6 py-5 font-medium text-brand-900 transition-colors hover:bg-brand-50/60">How many joint replacements should a surgeon perform each year?<span aria-hidden="true" class="grid size-6 shrink-0 place-items-center rounded-full bg-brand-100 text-brand-700 transition-transform duration-200 group-open:rotate-45"><svg viewBox="0 0 24 24" class="size-3.5" fill="none" stroke="currentColor" stroke-width="2.2" stroke-linecap="round"><path d="M12 5v14M5 12h14"></path></svg></span></summary><p class="px-6 pb-6 text-brand-600 leading-relaxed">Higher-volume surgeons and higher-volume hospitals have consistently better outcomes in the published literature — lower complication rates, lower infection rates, and fewer revisions. There is no single magic number, but you want someone for whom this is the main thing they do rather than one of many procedures they offer. I perform more than 600 hip and knee replacements a year.</p></details><details class="group"><summary class="flex cursor-pointer list-none items-center justify-between gap-4 px-6 py-5 font-medium text-brand-900 transition-colors hover:bg-brand-50/60">What should I ask at a joint replacement consultation?<span aria-hidden="true" class="grid size-6 shrink-0 place-items-center rounded-full bg-brand-100 text-brand-700 transition-transform duration-200 group-open:rotate-45"><svg viewBox="0 0 24 24" class="size-3.5" fill="none" stroke="currentColor" stroke-width="2.2" stroke-linecap="round"><path d="M12 5v14M5 12h14"></path></svg></span></summary><p class="px-6 pb-6 text-brand-600 leading-relaxed">How many of these do you do a year? Am I a candidate yet, or is it too early? What happens if I wait? Which approach do you use and why? What does recovery actually look like week by week? And what would make you tell me not to have this surgery? That last question tells you the most about the surgeon answering it.</p></details><details class="group"><summary class="flex cursor-pointer list-none items-center justify-between gap-4 px-6 py-5 font-medium text-brand-900 transition-colors hover:bg-brand-50/60">Where does Dr. Harb see patients and operate?<span aria-hidden="true" class="grid size-6 shrink-0 place-items-center rounded-full bg-brand-100 text-brand-700 transition-transform duration-200 group-open:rotate-45"><svg viewBox="0 0 24 24" class="size-3.5" fill="none" stroke="currentColor" stroke-width="2.2" stroke-linecap="round"><path d="M12 5v14M5 12h14"></path></svg></span></summary><p class="px-6 pb-6 text-brand-600 leading-relaxed">Patients are seen at the Washington, D.C. office at 1015 18th Street NW and at the Germantown, Maryland office on Observation Drive, serving the wider D.C., Maryland and Northern Virginia region. Surgery is performed at accredited hospitals and surgery centers in the area, with many patients going home the same day.</p></details><details class="group"><summary class="flex cursor-pointer list-none items-center justify-between gap-4 px-6 py-5 font-medium text-brand-900 transition-colors hover:bg-brand-50/60">Do I need a referral to be seen?<span aria-hidden="true" class="grid size-6 shrink-0 place-items-center rounded-full bg-brand-100 text-brand-700 transition-transform duration-200 group-open:rotate-45"><svg viewBox="0 0 24 24" class="size-3.5" fill="none" stroke="currentColor" stroke-width="2.2" stroke-linecap="round"><path d="M12 5v14M5 12h14"></path></svg></span></summary><p class="px-6 pb-6 text-brand-600 leading-relaxed">Most patients do not, though some insurance plans require one — it is worth checking with your plan. You can call the office directly to arrange a consultation. If it turns out your problem is not something I treat, or you are not ready for surgery, you will be told that plainly rather than scheduled for something you do not need.</p></details><details class="group"><summary class="flex cursor-pointer list-none items-center justify-between gap-4 px-6 py-5 font-medium text-brand-900 transition-colors hover:bg-brand-50/60">What if I am not ready for a joint replacement yet?<span aria-hidden="true" class="grid size-6 shrink-0 place-items-center rounded-full bg-brand-100 text-brand-700 transition-transform duration-200 group-open:rotate-45"><svg viewBox="0 0 24 24" class="size-3.5" fill="none" stroke="currentColor" stroke-width="2.2" stroke-linecap="round"><path d="M12 5v14M5 12h14"></path></svg></span></summary><p class="px-6 pb-6 text-brand-600 leading-relaxed">Then you should not have one, and I will tell you so. A large part of what I do in the office is deciding that someone is too early, and going through what to do in the meantime — activity changes, strengthening, weight, injections. Coming in does not commit you to surgery; it tells you where you actually stand.</p></details></div></div></div></div></section><section class="border-t border-brand-100 py-16 sm:py-20"><div class="mx-auto w-full max-w-6xl px-5 sm:px-8 "><span class="inline-flex items-center gap-2 text-xs font-semibold uppercase tracking-[0.18em] text-gold-600 "><span class="h-px w-6 bg-gold-500/60" aria-hidden="true"></span>Patient experiences</span><h2 class="mt-4 text-2xl font-semibold text-brand-900 sm:text-3xl">Rated 5.0 from 524 verified patient reviews</h2><div class="mt-8"><div class="grid gap-6 sm:grid-cols-2 lg:grid-cols-3"><figure class="flex flex-col rounded-card bg-white p-6 ring-1 ring-brand-100"><div class="flex items-center gap-0.5" aria-hidden="true"><svg width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.6" stroke-linecap="round" stroke-linejoin="round" class="size-4 fill-gold-500 text-gold-500" aria-hidden="true"><path d="m12 3 2.7 5.5 6 .9-4.3 4.2 1 6L12 17.8 6.6 20.6l1-6L3.3 9.4l6-.9L12 3Z"></path></svg><svg width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.6" stroke-linecap="round" stroke-linejoin="round" class="size-4 fill-gold-500 text-gold-500" aria-hidden="true"><path d="m12 3 2.7 5.5 6 .9-4.3 4.2 1 6L12 17.8 6.6 20.6l1-6L3.3 9.4l6-.9L12 3Z"></path></svg><svg width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.6" stroke-linecap="round" stroke-linejoin="round" class="size-4 fill-gold-500 text-gold-500" aria-hidden="true"><path d="m12 3 2.7 5.5 6 .9-4.3 4.2 1 6L12 17.8 6.6 20.6l1-6L3.3 9.4l6-.9L12 3Z"></path></svg><svg width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.6" stroke-linecap="round" stroke-linejoin="round" class="size-4 fill-gold-500 text-gold-500" aria-hidden="true"><path d="m12 3 2.7 5.5 6 .9-4.3 4.2 1 6L12 17.8 6.6 20.6l1-6L3.3 9.4l6-.9L12 3Z"></path></svg><svg width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.6" stroke-linecap="round" stroke-linejoin="round" class="size-4 fill-gold-500 text-gold-500" aria-hidden="true"><path d="m12 3 2.7 5.5 6 .9-4.3 4.2 1 6L12 17.8 6.6 20.6l1-6L3.3 9.4l6-.9L12 3Z"></path></svg></div><blockquote class="mt-4 flex-1 font-display text-lg leading-relaxed text-brand-800">“A really smooth operation — I was discharged the same day and basically able to walk easily within a day.”</blockquote><figcaption class="mt-5 flex items-center justify-between gap-3 border-t border-brand-100 pt-4"><span class="text-sm font-semibold text-brand-900">Mark T.</span><span class="text-[0.7rem] font-semibold uppercase tracking-[0.12em] text-gold-600">Hip replacement</span></figcaption></figure><figure class="flex flex-col rounded-card bg-white p-6 ring-1 ring-brand-100"><div class="flex items-center gap-0.5" aria-hidden="true"><svg width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.6" stroke-linecap="round" stroke-linejoin="round" class="size-4 fill-gold-500 text-gold-500" aria-hidden="true"><path d="m12 3 2.7 5.5 6 .9-4.3 4.2 1 6L12 17.8 6.6 20.6l1-6L3.3 9.4l6-.9L12 3Z"></path></svg><svg width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.6" stroke-linecap="round" stroke-linejoin="round" class="size-4 fill-gold-500 text-gold-500" aria-hidden="true"><path d="m12 3 2.7 5.5 6 .9-4.3 4.2 1 6L12 17.8 6.6 20.6l1-6L3.3 9.4l6-.9L12 3Z"></path></svg><svg width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.6" stroke-linecap="round" stroke-linejoin="round" class="size-4 fill-gold-500 text-gold-500" aria-hidden="true"><path d="m12 3 2.7 5.5 6 .9-4.3 4.2 1 6L12 17.8 6.6 20.6l1-6L3.3 9.4l6-.9L12 3Z"></path></svg><svg width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.6" stroke-linecap="round" stroke-linejoin="round" class="size-4 fill-gold-500 text-gold-500" aria-hidden="true"><path d="m12 3 2.7 5.5 6 .9-4.3 4.2 1 6L12 17.8 6.6 20.6l1-6L3.3 9.4l6-.9L12 3Z"></path></svg><svg width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.6" stroke-linecap="round" stroke-linejoin="round" class="size-4 fill-gold-500 text-gold-500" aria-hidden="true"><path d="m12 3 2.7 5.5 6 .9-4.3 4.2 1 6L12 17.8 6.6 20.6l1-6L3.3 9.4l6-.9L12 3Z"></path></svg></div><blockquote class="mt-4 flex-1 font-display text-lg leading-relaxed text-brand-800">“I walked into the surgical center in great pain and walked out with a new knee and a renewed person.”</blockquote><figcaption class="mt-5 flex items-center justify-between gap-3 border-t border-brand-100 pt-4"><span class="text-sm font-semibold text-brand-900">Brian K.</span><span class="text-[0.7rem] font-semibold uppercase tracking-[0.12em] text-gold-600">Knee replacement</span></figcaption></figure><figure class="flex flex-col rounded-card bg-white p-6 ring-1 ring-brand-100"><div class="flex items-center gap-0.5" aria-hidden="true"><svg width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.6" stroke-linecap="round" stroke-linejoin="round" class="size-4 fill-gold-500 text-gold-500" aria-hidden="true"><path d="m12 3 2.7 5.5 6 .9-4.3 4.2 1 6L12 17.8 6.6 20.6l1-6L3.3 9.4l6-.9L12 3Z"></path></svg><svg width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.6" stroke-linecap="round" stroke-linejoin="round" class="size-4 fill-gold-500 text-gold-500" aria-hidden="true"><path d="m12 3 2.7 5.5 6 .9-4.3 4.2 1 6L12 17.8 6.6 20.6l1-6L3.3 9.4l6-.9L12 3Z"></path></svg><svg width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.6" stroke-linecap="round" stroke-linejoin="round" class="size-4 fill-gold-500 text-gold-500" aria-hidden="true"><path d="m12 3 2.7 5.5 6 .9-4.3 4.2 1 6L12 17.8 6.6 20.6l1-6L3.3 9.4l6-.9L12 3Z"></path></svg><svg width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.6" stroke-linecap="round" stroke-linejoin="round" class="size-4 fill-gold-500 text-gold-500" aria-hidden="true"><path d="m12 3 2.7 5.5 6 .9-4.3 4.2 1 6L12 17.8 6.6 20.6l1-6L3.3 9.4l6-.9L12 3Z"></path></svg><svg width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.6" stroke-linecap="round" stroke-linejoin="round" class="size-4 fill-gold-500 text-gold-500" aria-hidden="true"><path d="m12 3 2.7 5.5 6 .9-4.3 4.2 1 6L12 17.8 6.6 20.6l1-6L3.3 9.4l6-.9L12 3Z"></path></svg></div><blockquote class="mt-4 flex-1 font-display text-lg leading-relaxed text-brand-800">“My full knee replacement is a big success — six months after surgery I’m hiking and kayaking again.”</blockquote><figcaption class="mt-5 flex items-center justify-between gap-3 border-t border-brand-100 pt-4"><span class="text-sm font-semibold text-brand-900">Lynn H.</span><span class="text-[0.7rem] font-semibold uppercase tracking-[0.12em] text-gold-600">Knee replacement</span></figcaption></figure></div></div><div class="flex flex-col gap-2 items-start text-left mt-8"><div class="flex items-center gap-1" aria-hidden="true"><svg width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.6" stroke-linecap="round" stroke-linejoin="round" class="size-5 fill-gold-500 text-gold-500" aria-hidden="true"><path d="m12 3 2.7 5.5 6 .9-4.3 4.2 1 6L12 17.8 6.6 20.6l1-6L3.3 9.4l6-.9L12 3Z"></path></svg><svg width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.6" stroke-linecap="round" stroke-linejoin="round" class="size-5 fill-gold-500 text-gold-500" aria-hidden="true"><path d="m12 3 2.7 5.5 6 .9-4.3 4.2 1 6L12 17.8 6.6 20.6l1-6L3.3 9.4l6-.9L12 3Z"></path></svg><svg width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.6" stroke-linecap="round" stroke-linejoin="round" class="size-5 fill-gold-500 text-gold-500" aria-hidden="true"><path d="m12 3 2.7 5.5 6 .9-4.3 4.2 1 6L12 17.8 6.6 20.6l1-6L3.3 9.4l6-.9L12 3Z"></path></svg><svg width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.6" stroke-linecap="round" stroke-linejoin="round" class="size-5 fill-gold-500 text-gold-500" aria-hidden="true"><path d="m12 3 2.7 5.5 6 .9-4.3 4.2 1 6L12 17.8 6.6 20.6l1-6L3.3 9.4l6-.9L12 3Z"></path></svg><svg width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.6" stroke-linecap="round" stroke-linejoin="round" class="size-5 fill-gold-500 text-gold-500" aria-hidden="true"><path d="m12 3 2.7 5.5 6 .9-4.3 4.2 1 6L12 17.8 6.6 20.6l1-6L3.3 9.4l6-.9L12 3Z"></path></svg></div><p class="text-sm text-brand-600"><span class="font-semibold text-brand-900">5.0 rating</span> based on <span class="font-semibold text-brand-900">524 verified patient reviews</span></p><p class="text-xs text-brand-500">Read reviews on Google: <span><a href="https://share.google/sAU3qsD9iP648Jlod" target="_blank" rel="noopener noreferrer" class="font-medium text-brand-700 underline-offset-2 hover:text-brand-900 hover:underline">Washington, D.C.</a></span><span><span aria-hidden="true"> · </span><a href="https://share.google/IIcMgNSYGip1qSFkk" target="_blank" rel="noopener noreferrer" class="font-medium text-brand-700 underline-offset-2 hover:text-brand-900 hover:underline">Germantown</a></span></p></div></div></section><section class="py-16 sm:py-20"><div class="mx-auto w-full max-w-6xl px-5 sm:px-8 "><div class="relative overflow-hidden rounded-3xl bg-brand-800 px-6 py-12 text-center sm:px-12 sm:py-16"><div aria-hidden="true" class="pointer-events-none absolute inset-0 opacity-80" style="background: radial-gradient(50% 80% at 90% 10%, rgba(205, 168, 107, 0.18), transparent 60%), radial-gradient(60% 90% at 5% 100%, rgba(143, 184, 191, 0.18), transparent 55%);"></div><div class="relative mx-auto max-w-2xl"><h2 class="text-3xl font-semibold text-white sm:text-4xl">Considering hip or knee replacement?</h2><p class="mt-4 text-lg leading-relaxed text-brand-200">The best next step is a conversation — no pressure, just a clear, honest understanding of your options. Explore Dr. Harb’s hip and knee replacement options or request a consultation.</p><div class="mt-8 flex flex-col items-center justify-center gap-3 sm:flex-row"><a class="inline-flex items-center justify-center gap-2 rounded-full font-semibold transition-colors duration-200 bg-white text-brand-800 hover:bg-brand-50 
34shadow-sm ring-1 ring-brand-100 px-7 py-3.5 text-base " href="/contact" data-discover="true"><svg width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.6" stroke-linecap="round" stroke-linejoin="round" class="size-4" aria-hidden="true"><rect x="3" y="5" width="18" height="16" rx="2"></rect><path d="M3 9h18M8 3v4M16 3v4"></path></svg>Book Online</a><a href="tel:+12028352222" class="inline-flex items-center justify-center gap-2 rounded-full font-semibold transition-colors duration-200 bg-transparent text-brand-800 ring-1 ring-brand-300 hover:bg-brand-50 px-7 py-3.5 text-base !text-white !ring-white/30 hover:!bg-white/10"><svg width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.6" stroke-linecap="round" stroke-linejoin="round" class="size-4" aria-hidden="true"><path d="M22 16.92v3a2 2 0 0 1-2.18 2 19.79 19.79 0 0 1-8.63-3.07 19.5 19.5 0 0 1-6-6 19.79 19.79 0 0 1-3.07-8.67A2 2 0 0 1 4.11 2h3a2 2 0 0 1 2 1.72c.13.96.36 1.9.7 2.81a2 2 0 0 1-.45 2.11L8.09 9.91a16 16 0 0 0 6 6l1.27-1.27a2 2 0 0 1 2.11-.45c.91.34 1.85.57 2.81.7A2 2 0 0 1 22 16.92Z"></path></svg>Call (202) 835-2222</a></div></div></div></div></section></main><footer class="mt-24 bg-brand-950 text-brand-100"><div class="mx-auto w-full max-w-6xl px-5 sm:px-8 py-16"><div class="grid gap-12 md:grid-cols-2 lg:grid-cols-12"><div class="lg:col-span-4"><p class="font-display text-2xl font-semibold text-white">Matthew Harb<span class="text-gold-400">, M.D.</span></p><p class="mt-3 max-w-xs text-sm leading-relaxed text-brand-300">Board-Certified Orthopedic Surgeon specializing in hip &amp; knee replacement. The Centers for Advanced Orthopaedics.</p><div class="mt-6 space-y-3 text-sm"><a href="tel:+12028352222" class="flex items-center gap-3 text-brand-200 transition-colors hover:text-white"><svg width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.6" stroke-linecap="round" stroke-linejoin="round" class="size-4 text-gold-400" aria-hidden="true"><path d="M22 16.92v3a2 2 0 0 1-2.18 2 19.79 19.79 0 0 1-8.63-3.07 19.5 19.5 0 0 1-6-6 19.79 19.79 0 0 1-3.07-8.67A2 2 0 0 1 4.11 2h3a2 2 0 0 1 2 1.72c.13.96.36 1.9.7 2.81a2 2 0 0 1-.45 2.11L8.09 9.91a16 16 0 0 0 6 6l1.27-1.27a2 2 0 0 1 2.11-.45c.91.34 1.85.57 2.81.7A2 2 0 0 1 22 16.92Z"></path></svg>(202) 835-2222</a><a href="mailto:[email protected]" class="flex items-center gap-3 text-brand-200 transition-colors hover:text-white"><svg width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.6" stroke-linecap="round" stroke-linejoin="round" class="size-4 text-gold-400" aria-hidden="true"><rect x="3" y="5" width="18" height="14" rx="2"></rect><path d="m3 7 9 6 9-6"></path></svg>[email protected]</a><p class="flex items-center gap-3 text-brand-200"><svg width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.6" stroke-linecap="round" stroke-linejoin="round" class="size-4 text-gold-400" aria-hidden="true"><circle cx="12" cy="12" r="9"></circle><path d="M12 7v5l3 2"></path></svg>Monday – Friday, 8:00 AM – 4:00 PM</p></div><a class="mt-6 inline-flex items-center gap-2 rounded-full bg-white/10 px-5 py-2.5 text-sm font-semibold text-white ring-1 ring-white/15 transition-colors hover:bg-white/15" href="/contact" data-discover="true"><svg width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.6" stroke-linecap="round" stroke-linejoin="round" class="size-4 text-gold-400" aria-hidden="true"><rect x="3" y="5" width="18" height="16" rx="2"></rect><path d="M3 9h18M8 3v4M16 3v4"></path></svg>Book an Appointment</a></div><nav aria-label="Footer" class="lg:col-span-3"><h2 class="text-xs font-semibold uppercase tracking-[0.16em] text-brand-400">Explore</h2><ul class="mt-4 space-y-2.5 text-sm"><li><a class="text-brand-200 transition-colors hover:text-white" href="/" data-discover="true">Home</a></li><li><a class="text-brand-200 transition-colors hover:text-white" href="/about" data-discover="true">About</a></li><li><a class="text-brand-200 transition-colors hover:text-white" href="/credentials" data-discover="true">Credentials</a></li><li><a class="text-brand-200 transition-colors hover:text-white" href="/why-dr-harb" data-discover="true">Why Dr. Harb</a></li><li><a class="text-brand-200 transition-colors hover:text-white" href="/perspective" data-discover="true">Perspective</a></li><li><a class="text-brand-200 transition-colors hover:text-white" href="/hip-replacement" data-discover="true">Hip Replacement</a></li><li><a class="text-brand-200 transition-colors hover:text-white" href="/knee-replacement" data-discover="true">Knee Replacement</a></li><li><a class="text-brand-200 transition-colors hover:text-white" href="/learn" data-discover="true">Recovery Guides</a></li><li><a class="text-brand-200 transition-colors hover:text-white" href="/conditions" data-discover="true">Conditions</a></li><li><a class="text-brand-200 transition-colors hover:text-white" href="/treatments" data-discover="true">Nonsurgical Treatments</a></li><li><a class="text-brand-200 transition-colors hover:text-white" href="/patient-resources" data-discover="true">Patient Resources</a></li><li><a class="text-brand-200 transition-colors hover:text-white" href="/locations" data-discover="true">Locations</a></li><li><a class="text-brand-200 transition-colors hover:text-white" href="/contact" data-discover="true">Contact</a></li><li><a class="text-brand-200 transition-colors hover:text-white" href="/independent-medical-examinations" data-discover="true">IME &amp; 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