07/23/2025
Howard Luks MDHoward Luks MD
• 3rd+Verified • 3rd+
Orthopedic Surgeon, Healthspan Coach, Author, Founder, and AdvisorOrthopedic Surgeon, Healthspan Coach, Author, Founder, and Advisor
1w • 1 week ago • Visible to anyone on or off LinkedIn
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I’ve been a surgeon for over 30 years… There are many lessons that I’ve learned: Rehab works… more often than you think.
Surgery Helps Less Than You Think—But Rehab Helps More
After three decades in the operating room, I’ve come to a surprising conclusion—one I wish more patients had heard earlier:
Surgery is often the least important part of recovery.
That may sound strange coming from a surgeon, but it's true. The scalpel can remove degenerative tissue, replace a joint, or stabilize a fracture. But the outcome—the real recovery-is shaped by everything that happens before and after the procedure.
Sometimes we suspect that it wasn’t the surgery that helped, but rather the commitment to rehabilitation following the surgery that helped.
We would have appreciated seeing that commitment before surgery. Or perhaps the surgeon said, “Well, it probably won’t work, but try PT first.” Or, “your insurance may only approve the surgery if you attempt rehabilitation first.”
Those phrases don’t improve your mindset going into rehab.
Too many people believe that surgery is a finish line. It’s not. It’s a turning point.
The patients who thrive after surgery aren’t the ones with the most pristine implants or perfect MRIs. They’re the ones who show up early to prehab.
Who stays consistent with rehab? Those who understand that strength, balance, mobility, and endurance are the real factors that determine whether surgery changes their life or fixes a joint.
I’ve seen “perfect” surgeries yield poor outcomes in deconditioned, disengaged patients. I’ve also seen average surgeries lead to remarkable recoveries in those who move, train, and rebuild.
Many surgeries are less effective than we would like to think. But rehab helps more than most people realize.
Here’s the shift we need to make: from passive procedures to active participation.
Because long-term function isn’t something I can give you—it’s something we build together.