Our Philosophy

Our A.V.A.T.A.R® program means exemplary care and superior results. We provide state-of-the-art joint replacement care in a highly personal and compassionate manner.

But the restoration process doesn’t end when the operation is over. We attest to the effectiveness of creating a recovery plan for our patients so they can take informed action in the healing process.

Here is what we’ve learned after over 20 years.

The Very Best Orthopedic Care – With You in Mind

In today’s marketing world, the term “state-of-the-art” has become almost trite, requiring redefinition wherever it is used. This cannot simply mean the newest technology since novel materials and techniques must be tested in the lab and then in actual patients. The results need to be evaluated before clear conclusions regarding efficacy can be drawn. Over the past 20 years, most “cutting-edge” technology has turned out to be hot air or, even worse, harmful.

It takes training, time, and experience to sort out the good from the bad. We take that responsibility seriously.

In short, that means everything we do for you must make sense, perform as tested, and be better and at least as safe as what we used to do for us to adopt it.

We rely heavily on outcomes data and value patient feedback. We are at the cutting edge of new technologies. We carefully apply these methods and materials to our patients, auditing what we do in real-time with complex data collected by us and others and reported in the most reputable journals, We oppose ignoring testing results and using discredited or unproved treatments for the sake of marketing, hype, or profit.

Highly Personal Technology

Despite its convenience and efficiency, technology feels cold and impersonal. In the medical environment, especially in a surgical specialty, a personal touch adds the warmth that would otherwise be missing from our innovative, efficient program.

That’s why we have real people answering the phone, we don’t rush through office visits, and every question is answered to the patient’s satisfaction. What could be more personal to you than your health?

We recognize that each patient has a different perspective and expectation regarding their healthcare needs, and we treat each person as an individual. Our patients are often highly educated and arrive with a game plan already in place. We are here as a sounding board to listen and to offer expert advice when necessary, especially for active and athletic people.


Our patients often face a loss of their life-long independence because of progressive hip, knee, or shoulder problems. Surgery is usually the last, not the first, option after we have exhausted all other care.

We understand that having an operation can be scary, and naturally, people expect to feel worse before they feel better.

We walk with our patients through these issues week after week, taking time to discuss the emotional side of surgery as well as the physical. We talk together, working as a team to help our patients make the best choice for themselves and their families.

Benefits of Experience

Our wealth of data and experience benefits more than just our patients. We are committed to advancing our field by helping the postgraduate education of practicing orthopedic surgeons. This involves teaching visiting surgeons, presenting our data at national and international educational meetings, and publishing our research.

We collect a tremendous amount of data, which helps our patients in their recovery and the patients of other surgeons around the globe. We have developed technological advances that have been accepted as mainstream innovations.




A.V.A.T.A.R® Program




A.V.A.T.A.R® Program

Less pain · Faster Recovery · Better Function

Compassionate Care with AVATAR®

We use the latest technology and then wrap you in compassionate care. A.V.A.T.A.R® is especially valuable for active and athletic people.

  • Latest customized technology
  • Your own personal Physician Assistant
  • Therapy program unique to you
  • Custom tailored pain control program

Recovery and healing is a journey. Start yours here.

Success Stories

Real Patients, Real Results

Our patients are talking and sharing the good news about the excellent care and superior results they experienced our surgery center in Stratham, NH.

Watch and listen to our patients describe their individual orthopedic situations and experience with A.V.A.T.A.R®.

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Guides and Advice

Patient Resources and Learning

Ongoing care is the name of the game. Recovery is a long-term process, and while our team strives to maintain a same-day outpatient surgery experience, it doesn't mean we leave you to figure out healing on your own.

First Visit Guide

Come prepared for your first visit by reading up on what to expect during your visit.

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Learn more about our prescription policy and how to ask questions about existing medications.

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Explore our payment options including bundled payments and get help regarding eligibility.

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