Our patients rarely require a blood transfusion after a single joint replacement. We supplement iron and folic acid and other vitamins prior to surgery to eliminate deficiencies and to help your body respond to the stress of surgery. By screening patients before surgery we have an opportunity to prescribe a blood hormone that gets the bone marrow working hard to correct anemia prior to the operation. We pay strict attention to preventing and stopping bleeding (hemostasis) during surgery. We may utilize a “cell saver” which processes blood that is suctioned from the incision during surgery allowing it to be given right back to the patient. After surgery we will monitor your blood count and vital signs closely. The blood count is expected to drop for a few days after surgery. Only if you become symptomatic would we possibly recommend a transfusion.