This photograph portrays the very critical, cooperative decision making process prior to orthopaedic surgery. The surgeon may use the visual aids such as the MRI or CT scan to help the patient comprehend quite clearly the diagnosis, mechanics of the proposed procedure, and the benefits and risks involved in the procedure in a consultation room. This discussion discusses such options as physical therapy or injections, specifics of the surgical procedure, the types of implants, and actual time frame of recovery and rehabilitation. This model of joint decision making makes the patient more powerful so that he knows everything and is comfortable with the path taken. It turns the surgical plan into a clinical prescription into a shared agreement and creates a sense of trust and provides clear expectations of the trip to restored mobility and pain relief.