The decision to undergo total joint surgery is based on several factors, including the severity of joint pain, the impact on daily activities, and the effectiveness of conservative and nonsurgical treatments. If the following issues apply to your day-to-day life, your surgeon may recommend total joint replacement surgery. Persistent and severe joint pain. Limited joint mobility affecting daily life. Failure to respond to conservative treatments such as pain medications, physical therapy, and lifestyle modifications. A commitment to post-surgery rehabilitation and recovery.