Elders in the US Medicare are finding it increasingly difficult to get a knee replacement. Waiting times in the UK also drives elderly to seek knee replacement in India. The elderly population in India is increasing in numbers like the west. With this the number of people requiring surgery has increased. Elders often live are on their own as their children are away. Medical problems like coronary heart disease, diabetes, high blood pressure are common co morbidities. Post operative confusion is an issue. I offer minimally invasive partial and total knee replacements for elderly. These can be safely performed under regional anesthesia after a thorough evaluation. Unicondylar knee replacement For octogenerians( people in their eighties), with minimal involvement and whose pain is not relieved by analgesics, arthroscopic treatment is an option to relieve mechanical symptoms. With partial knee wear, a partial( unicondylar) knee replacement provides pain relief, shorter recovery and near normal function. Quality of life will definitely improve after surgery.