This book brings together a comprehensive set of chapters that cover the basic principles of fast track surgery, clinical enhancements, but also important aspects of project management and change management in Hip and Knee Arthroplasty. Although the value of care pathways and fast track surgery are probably well known by almost everyone, there are still too many differences in arthroplasty care not only around the world, but also within countries. How can it be that the fast track principles are implemented so poorly? Probably because it looks so simple, yet it's so complex that many doctors don't know where to start. This handy ESSKA book provides an easy-to-consult guide that summarize the most important notions in a concise, accessible way.