65 yr old farmer from Patiala, Punjab had come to us with advanced osteoarthritis both knees. There was marked varus and gait alteration. His walking speed was markedly reduced. He was not able to carry on with farming any further for the last one year. The apprehension was whether he will be able to climb up and down his tractor after surgery and whether his knee will be strong enough to drive the tractor. The patient was convinced only for unilateral TKR on right side, on trial basis as per his wishes. These pictures as of the day when sutures were removed, 12 th postop day. Notice that the knee is straight with good range on bending. The patient voluntarily went with replacement of second knee after 1 month. At present, with both knees replaced, he is able to climb up-down and drive his tractor happily.