Physicians

 In August of 2024 I had robotic total knee replacement. Dr. Bircher and his team gave me a new life in that knee. I walk normally again and sleep so much better. In addition to excellent surgical work, Dr. Bircher’s explanation of the procedure and after surgery care was first rate.

This past year I had robotic-assisted total knee replacement of both knees because of an auto accident. The total professionalism and care of Dr. James Bircher and his staff made the experience easy to deal with. He explained each step and offered great advice on my aftercare. Thank you Dr. Bircher, his staff and TCO.

Dr. James Bircher is a tremendous orthopedic physician and I am greatly appreciative of his awesome treatment of my longtime knee pain. Dr. Bircher possesses a rare combination of great wisdom, compassion and kindness. Both my husband (hip replacement surgery) and I are patients of Dr. Bircher, further confirming our mutual confidence and trust in his medical expertise. Dr. Bircher is a truly outstanding orthopedic provider and his TCO team of Kari (PA) and Cassie (care coordinator) provide superb, enhanced patient support. My husband Bill has submitted his own patient testimonial regarding his successful hip replacement surgery by Dr. Bircher. Both my husband and I greatly thank and highly recommend Dr. James Bircher to anyone seeking excellent knee or hip orthopedic medical care.

I’ve seen Dr. James Bircher over the last few years for different injuries and ailments. Most recently he performed a robotic-assisted total knee replacement, Dr. Bircher excels in kind, compassionate care as well as being an exceptional surgeon. He was patient in guiding me through the process, I felt well informed before, during and after the surgery. I appreciate his skilled ability and kind demeanor. Would highly recommend Dr. Bircher to others!!

Three months ago I had a total right knee replacement performed by Dr. James Bircher. He is very talented and knowledgeable, and uses the latest in knee technology and robotic-assisted surgery. I am extremely satisfied with the results.

I have excellent stability and full range of motion, don’t have any pain and with only slight swelling. My incision is perfect and barely visible. Dr. Bircher is very friendly, kind and easy to work with. I highly recommend Dr. Bircher for your knee replacement surgery.

Dr. James Bircher is a tremendous surgeon possessing a rare combination of exceptional talent, wisdom and compassion. I am truly grateful for Dr. Bircher and I would highly recommend Dr. Bircher and his ‘team’ to anyone seeking great orthopedic hip care.

My story begins almost three years ago. Having just moved to Minnesota from Wisconsin and suffering from severe right hip pain. After researching the biographies of TCO’s surgeons, I felt led to schedule an appointment with Dr. Bircher. During my initial appointment with
Dr. Bircher, two things occurred:
(1) I immediately realized that I had found the ‘right surgeon’ to replace my right hip
(2) I learned, incredibly, that I had to first lose almost 60 pounds before surgery could be safely accomplished

Almost two and one half years from that first appointment, I was scheduled for the replacement of my right hip having lost the required 60 pounds. On the day of surgery, prior to being wheeled into the operating room, Dr. Bircher met with me and asked if he could pray with my wife, our adult son & myself for God’s favor over the surgery – my response was – absolutely and so very much appreciated!

To my surprise, I learned that my severely deteriorated hip (according to Dr. Bircher, one of the worst that he had seen) was successfully replaced and that Dr. Bircher would be visiting with me shortly, and surgery was pronounced to be a ‘success’.  Three weeks after the surgery, I was able to go beyond my walking at home and begin walking around Lifetime Fitness’s walking track. And now February 24 2025, I still remain completely ‘pain free’ with ALL that I had to endure but a distant memory.

I take this moment to personally thank ALL involved in my hip replacement surgery:
Almighty God – for answering our prayers for a successful surgery (Psalm 77:11)
Dr. Bircher – for being the tremendous surgeon that he proved to be
PA Kari – who closed my incision to a point whereby it is now almost unnoticeable
Cassie – as the Care Coordinator who was always there to efficiently address the multitude of questions or needs relating to the surgery
Heather – my TCO physical therapist who did her very best to help me cope with all the pain I had to endure until the day of surgery.

After my first doctor retired, I was referred to Dr. James Bircher and so glad he is now my doctor. He did my second manipulation, and it turned out much better than my first. I was still having issues with motion and catching and clinking of my knee. Dr. Bircher recommended I try arthroscopic surgery to cut out scar tissue and it was so much better after that. Since then only has gotten better over the last several months. He also recommended I try ROM Tech Bike and ice machine which greatly helped with clonking and movement.

I just am so happy with everything he has recommenced and has done for me. He is so knowledgeable and very caring doctor. I would highly recommend Dr. Bircher to anyone needing knee surgery.

I was having all kinds of problems with my knee, I tried injections and burning the nerve. None worked then I saw Dr. James Bircher, he did a robotic-assisted knee replacement, and it went great! I am out of pain, him and the staff are very caring and good!

I was very scared to have knee replacement surgery, but the Dr. James Bircher was great. I had such pain I couldn’t wait anymore, and very happy with the confidence and care he gave me. Would very highly recommend Dr. Bircher for anyone to have him as their physician when seeking a robotic-assisted knee replacement. Thank you so much.

Having finished my final appointment, I am, to say the least, extremely happy with my new knee. I did not think it would be possible after the accident to return to life as before. The confidence I received from Dr. James Bircher made all the difference in my unusual and difficult knee replacement and he and his staff did deliver everything he promised. As I continue to strengthen my knee and leg, I am confident of much more than I had before. Thank you Dr. Bircher and staff for your upbeat, thorough and professional care.

I fell and broke my hip the day before our daughters wedding. I got lucky because Dr. James Bircher was the ortho on call when I went to the hospital.

I was in the hospital before 8 AM on Friday, in surgery for a hip replacement at noon and was ready and at the church by 2 o’clock on Saturday. He and his team are miracle workers! I could walk without any assistance – no walker or cane and was able to enjoy the wedding and reception. Wedding guests could not believe it. I should’ve had Dr. Bircher’s cards to pass out at the wedding.

It’s been 3 months now and all is good. I think our daughter has recovered from the added stress the day before her wedding! Don’t hesitate to have Dr. Bircher do your replacement. Based on my experience he is an exceptional surgeon. He and Kari are both nice, easy to talk with and helpful with any questions.

Dr. James Bircher, Kari, and Cassie are an amazing team! At 66 years old I was finally able to find relief by having a robotic-assisted total knee replacement performed by Dr. Bircher with his state-of-the art skills and advanced technological procedure.

He is a specialized orthopedic surgeon who gave extra attention to other medical conditions I have in consideration of recovery. I wished that I had met Dr. Bircher 10 years ago to have him perform the knee surgery then. When my other knee requires surgery I will only have Dr. Bircher perform the surgery.

He is detailed, thorough, realistic in recovery expectations, and keeps a patient filled with hope and energy within themselves to make this a successful experience. I am so thankful I had the total knee replacement. Thank you to everyone at TCO who helped me so I can have left-knee mobility again.

Highly recommend Dr. James Bircher and his wonderful team; I have anxiety issues and considered backing out at the last minute – so thankful I didn’t, not one bit of anxiety.

The care given to me made me so relaxed and I felt comfortable the entire time, Dr. Bircher was up to check on me first thing in the morning, shout out to my physical therapy team also- so encouraging! I was back to work in about 2 1/2 months – probably could have gone before that, but doctor’s orders. Scar is so minimal some people thought it just looked like a scratch!

Great team – I will go to them in the future if needed, although I’m hoping not. Thank you, Dr. Bircher and team.

I saw Dr. James Bircher for a right hip replacement and issues with my left hip replacement done by a different doctor. My right hip replacement was done via the anterior method, which Dr. Bircher specializes in and he did an excellent job on mine. My recovery was smooth and I’m almost pain free now. He’s always been patient with me and he explains my care thoroughly. He has never been rushed to get to the next patient. His staff and the front desk at TCO have always been excellent. I don’t have to wait long to get seen and they are always polite and pleasant. Dr. Bircher’s PA, Kari Gabrielse, and Care Coordinator, Cassie, are also top notch! I highly recommend Dr. Bircher and TCO!

I had suffered 18 years of pain in both my knees until being referred to Twin Cities Orthopedics. After meeting with Dr. James Bircher and his team, we scheduled the robotic-assisted knee replacement surgery through the TCO EXCEL Surgery & Recovery Program which helped get me back to a quality of life that I haven’t had for 18 years. Thank you Dr. Bircher, and to all of your medical team including the physical therapy staff.

Dr. James Bircher is top-notch., and his team was amazing, Kari and Cassie getting me scheduled as soon as possible.  The TCO EXCEL Surgery and Recovery Program was the best care as a patient I have ever received. The TCO facility and the EXCEL program really knocked it out of the box and brought it to the next level for me.

Dr. Bircher thought it would be best to do a partial knee replacement. I did not hesitate to say yes, because of the pain, after surgery, I was up and walking the same day, physical therapy, stretching, and moving around. The nurses at TCO we’re more than kind and understanding. The aftercare I have received from Dr. Bircher’s team was/is everything you would expect from a professional team at this caliber in the game. I expect an excellent recovery. The abundance of information on pre/post surgery I received from Kari was on point and very informative.

Follow through with physical therapy and listen to your therapist. They are there to help and assist you on your recovery.

It was getting harder for me to walk and I was having trouble sleeping because of the pain. After I met with Dr. James Bircher, he recommended a hip replacement and it was the best thing I could have done. On the day of the surgery he talked to me and even said a prayer, which not only impressed me but put me at ease. I feel so much better. After a couple of months, I am walking and sleeping so much better. I am so happy I went through the procedure. I am eventually going to have the other hip replaced and I will definitely go back to Dr. Bircher. The only difference will be is that I won’t wait as long as I did with the first hip. I would highly recommend Dr. Bircher and his teams. They were great.

I couldn’t be happier with the results of my total hip replacement. Dr. Bircher and his staff at Twin Cities Orthopedics along with the entire medical team at Maple Grove Hospital provided outstanding care. I received a thorough explanation of the entire process and all treatment options available to me. All my questions were answered, and I felt very comfortable moving ahead with the procedure. Thanks to the professionalism and expertise of the entire team, my hip pain has gone away, and I am back to living my normal life. Thank you Dr. Bircher and team!

In 2018, I was told I needed a hip replacement by another orthopedic practice and I said, I’m not getting one, how long do I have? I was told 3 years. In the Spring of 2024, I had enough ibuprofen and decided to schedule an appointment.  I was also motivated by an upcoming project completion in July. I knew I was going with TCO as I was aware of their reputation. Researching hip doctors, I found Dr. Bircher  and I’m so glad I did, and when I met with him he was professional and to the point. He stated I was good candidate for a successful hip surgery. I enjoyed his friendly confidence. He explained things and as a result, I went in July with no worries. I followed the recommended home therapy and was able to return to work with some caution and restrictions in about 60 days. Follow up appointments were great. Dr Bircher and his staff always gave me all of the time I needed to describe where I was at. I should also add that on the day of the surgery the staff was remarkable. One by one they each came in to meet me to explain their role and to wish me luck; A+ on it all. Do this thing. The pain I had endured was gone immediately after surgery. I used a walker for a two weeks to ensure no falls, then went to a cane and could do pretty much what I wanted to do. By the way great job on the closure too. My scar is as thin as a kite string.

From the first time I met Dr. Bircher and PA Kari I had trust in their expertise, their recommendations, and pre-surgical instructions. In addition, their bedside manner, both before and after surgery was superb, kind, attentive, and informative. This was such pleasant surprise since I’ve had the opposite previously. They told me exactly what I’d be going through post-surgery including a timeline for healing. The communication with Dr. Bircher, Kari, Cassie, and Stephanie was beyond excellent. They returned my calls, emails, and texts either within minutes, within the day, or by the next day. They also responded in the evenings and even on weekends. That surprised me and made me feel important. The physical therapy team of Michelle and Lisa demonstrated their knowledge and well proven techniques. Their bedside manner was also superb. Their patience and encouragement were exactly what I needed. Since the conclusion of my clinical PT I’ve continued to follow the exercise program they laid out for me. I attribute the level of my mobility to them. At this writing, I am three months post-surgery. My knee is doing well, and I am happy with the results. I am looking forward to further healing. I have an appointment with Dr. Bircher/Kari in one week and I’m curious to see what their reaction will be to my progress.  Finally, and it’s obvious by my comments cited above, I completely and totally recommend this fantastic team. In fact, a year from now I’m planning on having my other knee replaced. I have been in their expert hands, and I know I will be in the future.

I continually made excuses on why it wouldn’t make sense to have the robotic-assisted knee replacement done until I could retire. My quality of life had gotten worse to the point where I was having trouble with simple day to day activities. My family were constantly asking me to go get my knee fixed. They could tell I was in a lot of pain most of the time. I was struggling to sleep; I had no end in sight. Finally, I decided to go to TCO to have Dr. Bircher look at it. He recommended to have surgery because he felt he could help me have a better quality of life. He suggested the EXCEL Program, he felt it was a good fit for me because of my age 56. He was very honest, and said it wasn’t going to be easy, but if I worked hard and followed the plan, I should have good results. The day of the surgery I was extremely nervous, I started to doubt my decision to do it. Then walked in Dr. Bircher, smile on his face as usual. He went through everything that was going to happen, and what to expect going forward. Then to my surprise he asked if he could pray with me. The nervousness went away, I knew I was in good hands. When I awoke, I felt good. They brought me to my room at the Plymouth Orthopedic Surgery Center. This is where my recovery began, and Dr. Bircher checked on me a few times while I was there. He said if I need anything to let him know. The pain I had post-surgery was nothing compared to what I had been dealing with for years. I worked hard and followed the plan set for me, everyday seemed to get better and better. Now, here I am 4 months after surgery and I got my life back. I wish I would have had surgery years ago; I will never put anything like this off again. A huge Thank You goes out to Dr. Bircher and his incredible team at TCO.

If you are considering a hip replacement or have hip pain and wonder what to do, I highly recommend seeing Dr. Bircher. He is an amazing doctor, a straight shooter, and we need more like him! After looking at my X-rays, he didn’t hesitate to tell me I needed a hip replacement and honestly explained why having PT or cortisone shots would not help since I was bone on bone. He also explained the risks I had (my weight and fact that I take a blood thinner), let my husband and I make our decision based on the facts.  His caring nature after the surgery is priceless! Have not experienced a doctor of any kind with as much caring as he showed me. I would not hesitate to use him again!

This spring I met with Dr. Bircher to discuss a possible robotic-assisted knee replacement. He was patient, knowledgeable, warm and encouraging. The entire team took time to answer questions when they arose, check in on status, and encourage continued recovery. As anyone having knee replacement knows, it is not a fun surgery or recovery process, but the team was amazing. Since a second knee replacement is in my future (the other knee), I am so much more at peace knowing Dr Bircher and his team provide awesome care and support!

My surgery with Dr. Bircher was a well-planned and trouble-free experience. The staff was thoroughly professional as well and always kept me in the loop about the details.

Extremely pleased with Dr. Bircher and his team. I suffered with a terrible stabbing pain in my left leg for over eight years and went to see numerous specialists to try and figure out what was wrong. Nobody figured it out until I met with Dr. Bircher, and it changed my life. My implant had come loose. I am now recovering and so far, am doing quite well!

In April, Dr. Bircher performed my robotic-assisted total knee replacement surgery, and it was the best decision I ever made. He was very professional and worked with me prior to my decision to have surgery and I appreciated his patience and understanding.

My first appointment with Dr. Bircher was on April 11, 2024, and it took all of a few seconds for him to realize that I needed surgery. I had left hip replacement surgery on April 25, 2024. WOW, what a quick turnaround. I went from hardly being able to walk to getting up and walking without pain just a few hours after surgery. The total care team were so professional and caring. They answered all my questions and helped me in every way I needed.

Within 24 hours after checking into the hospital, I was on my way home to start my recovery. The care team said the best medicine for me was to walk, walk, walk, so that’s what I did. Now just over 2 months after surgery, I bought a new pair of roller blades so I could skate around the lake to get ready for the ice hockey season in the fall. Haven’t been able to play in many years. I am so impressed with Twin Cities Orthopedics and would recommend them to anyone in need of their services. Thank you so much Dr. James Bircher and the care team for giving me back my life!

An old knee meniscus injury (1977), exacerbated by 28 years of military service and thousands of miles training for marathons finally led me to make an appointment for nagging pain and lack of mobility. Dr. James Bircher recognized immediately after looking at my x-rays the need for a robotic-assisted total knee replacement. My surgery was 11 March, and I was able to walk my daughter down the aisle at her 22 June wedding unimpeded by pain. The initial recovery was not fun, but through great physical therapy at TCO and great care by Dr. Bircher’s team, I am able to walk pain-free for the first time in decades. Dr. Bircher and his team tells it like it is — the recovery will be tough the first several weeks, but by 6 months you will be better than before. I am waiting to see what 1 year brings! Thanks Dr. Bircher and team!

Dr. Bircher performed my robotic-assisted knee replacement surgery. Once it was determined that I needed to have my knee replaced, Dr. Bircher and his team explained the entire procedure to me and what I could expect after surgery. I was very well pleased with the entire process and would recommend Twin Cities Orthopedics to anyone.

Excellent surgery care, all went very well. The EXCEL program is a blessing. All aspects of the experience went quite well all the way through physical therapy.

I injured my left knee many years ago and then continued to punish it further through a 28-year military career, as well as training for marathons. Dr. James Bircher performed knee replacement surgery in March, and I was able to walk my daughter down the aisle at her wedding in June. Dr. Bircher did a great job, and I highly recommend him. Absolutely amazing results!

In February I finally scheduled my hip replacement surgery. I was in so much discomfort and pain. This was my first time at TCO, and I was assigned to Dr. Bircher. After my first exam with him I knew I was in good hands. I had my surgery, and it was the best thing I could’ve done for myself. Dr. Bircher was phenomenal, he did a great job and I have no complaints. I’d also like to compliment his assistant, Kari Gabrielse, on her professionalism and her care. They are a dynamic duo and if by chance I would need the other hip replaced, I will be asking for this duo to do the job. In addition, the whole clinic atmosphere is great, everyone is so helpful and pleasant. Thank you!

I had a total left knee replacement 12 weeks ago. Dr. James Bircher is number one, I highly recommend!
The TCO EXCEL program, along with the great team of doctors, nurses and physical therapy staff are all just incredible. I am doing great!

Dr. James Bircher did a great job with my surgery. I also appreciate the time he took to answer my questions. He was very relaxed and gave me as much time as I needed.

I am so grateful for Dr. Bircher and the very successful total hip replacement surgery he performed. He did the anterior approach which was an amazing surgery and recovery compared to the very painful, difficult lateral/posterior surgery I had done 2 years ago with a different surgeon. I’m totally back to doing all the things I love like babysitting grandchildren, walking on the beach, singing in the choir, gardening, and much more. Thank you for giving me my life back!!!

My left hip required replacement, so I selected Dr. Bircher at TCO, which turned out to be the best decision to treat both of my hip pain issues. He is caring, knowledgeable, expresses confidence in the treatment options, and always had time to answer my questions. He replaced my left hip with no follow-up issues after the recovery. I was able to resume normal activities as much as my right hip would allow. The right hip ended up needing hip revision surgery after extensive tests determined the original hip replacement performed by a different physician was loose and causing pain when I walked. Again, Dr. Bircher and his care team did an excellent job preparing me for what lay ahead as this one was more complicated than my left hip replacement. I am now 6 months post hip revision surgery, and I could not be more pleased with the outcome. I highly recommend Dr. James Bircher, his care team including his assistant Kari Gabrielse if you are seeking relief from hip pain.

I’m 61 years old and I hesitated getting the much needed surgery because my other doctor retired. Words can’t begin to describe how great I feel after Dr. Bircher took care of me. The surgery was a huge success! At 8 weeks I graduated PT, and I’m bending and straightening my knee in ways I haven’t for a decade. I’m going straight up and down steps, not sideways, and I can garden again! Dr. Bircher has a great sense of humor and very caring. He told me I wouldn’t like him the first week after surgery, but it was only on day three where I felt that. I’m not going to lie, that day wasn’t fun. I have recommended him to friends. My right knee will be in his hands in the future. I highly recommend him!

I suffered from severe knee pain, which significantly impacted my quality of life. Dr. Bircher performed total knee replacement surgery, which allowed me to regain my ability to climb stairs, exercise, and do my usual chores. Before the surgery, I researched Dr. Bircher and discovered that he had received his training at the prestigious Cleveland Clinic, where he became their chief resident. Then, following his residency, he took an orthopedic fellowship with the Cleveland Clinic. With such impressive credentials, I felt confident entrusting him to perform my knee replacement surgery. I was so impressed by his compassionate, warm manner. He made me feel well cared for. At just over three months post-surgery, I look forward to gardening again. Thank you, Dr. Bircher.

I feel very fortunate to have found Dr. Bircher to do my right hip replacement. We started with a very careful analysis of my problem and a discussion of options before jumping to solutions. Once we decided on a hip replacement, the entire process was handled very professional and efficiently. If I ever have to do my other hip, Dr. Bircher is my choice for this kind of care. I strongly recommend him.

I met with Dr. Bircher after I found out the cause of my pain was bone on bone in both hips. After discussing the process, I had confidence it was the way to go. The surgery went great! I was walking with a walker within hours and walking without a cane in five days. I never had any signs of bleeding, drainage or infection. I am three months post-surgery and that hip feels great. I can’t wait to get the other hip done in a few months. Dr. Bircher’s staff is great. I wouldn’t consider seeing anyone else. I had my surgery done at North Memorial Hospital and spent one night on site. The staff there were outstanding too.

Our 96-year-old mother was living life in chronic hip pain. She endured several years with multiple cortisone injections until they became ineffective. The hip joint pain was becoming unbearable. Her quality of life was poor at best, dealing with constant pain. Other orthopedic doctors stated she was too old for hip replacement and offered other alternatives that provided no relief. She couldn’t walk or sleep comfortably and often just sat in a recliner. The family had to rely on the wheel chair more often when going outside the home.

We finally met with Dr. Bircher, who was referred to us by moms primary Doctor. He listened to the family’s concerns, goals, and mom’s quality of life. He took into consideration her entire health history and not just the number of her age! After basic pre-op testing, he saw no reason we couldn’t do a total hip replacement. While we all had our reservations for hip replacement surgery, especially since mom only had her tonsils removed at a very young age and no other surgery in her 96 years!

Surgery day came and while they were prepping her, she asked for a hospital chaplain. The chaplain got called away and could not visit beforehand and asked Dr. Bircher to say a prayer. Guess what, he did! He held hands with mom and our family and lead the prayer for his hands to guide him in a successful surgery.

Our mother’s surgery went perfect and she was up walking and feeling better the same night after surgery. Even at 96, she recovered quickly and is back in her home. She is walking free of pain, mainly with a walker for safety, but she often sneaks quick distances without any assistance. We never thought we’d see her walk without in excruciating pain again.

We highly recommend Dr. Bircher for his amazing surgical skills, communication, kindness, empathy, bedside manner. He’s an all-around a great man! Thank you, Dr. Bircher and your amazing support team!

I was referred to Dr. Bircher. He was very kind and a willing listener, as I was not an easy case! I dealt with multiple infections in the past. So he ran tests before he did anything, which I was very grateful for. Once we found out there was no infection, he did a metal removal from past surgery first.

Then he went ahead with the right knee replacement in July of 2023. In December of 2023 I had my left knee done. Dr. Bircher and his team were great! They called me at home multiple times to check in with me about healing and pain management. He was always quick to return calls and answered all of my questions or concerns.

He was also willing to give me a referral to a spine doctor who I have been going to now as well. If I do need more surgery down the road I will be going back with Dr. Bircher and his group. I would definitely recommend him and his team!

Prior to getting my hips replaced, I was quite restricted as to what I could do. I have always been very active and I’ve run 120 marathons, having completed the last one in 2019. I went in for some PT, for what we thought was piriformis syndrome, but the stretches/exercises were not helping me with the pain I was experiencing in the piriformis muscle area. I stopped riding a regular bike since I couldn’t get on and off easily, due to an extremely limited range of motion. Running wasn’t working for me and even walking became difficult to do without experiencing pain. I finally told my primary doctor things weren’t better even after I had really worked on my PT exercises. My doctor gave me a referral to go to Twin Cities Orthopedics to see if a doctor there could help further.

I had my first appointment with Dr. Bircher and the first thing they did was send me down the hall for X-rays. Dr. Bircher came in and asked me to describe the issues I was having. After listening to me, he shared the X-rays that had been taken of my hips. Prior to this, worn out hips were not even on my radar. I had just assumed it was tight muscles. Dr. Bircher showed me the X-rays and explained what was going on. He explained that my left hip was a little worse than the right, but I was bone on bone in both hips. He talked about various options (total hip replacement, resurfacing, delaying replacement) available to me. While it was a bit overwhelming, he talked me through my options and his recommendations. I went home and came back a week later with my wife and after we talked through options again. We decided to go ahead with a total hip replacement on the left side and then reassess the right side after that.

Dr. Bircher instilled me a great feeling of confidence in the upcoming surgery. The left hip replacement went very smoothly and within one week, I was out walking 2-3 miles in the neighborhood with a cane. After just a few more days I didn’t even need the cane. After 6 weeks I went in and we looked at X-rays of the new hip. We also discussed whether to move forward with the right hip. X-rays again showed bone on bone on the right side. I wasn’t experiencing the pain on the right like I had on the left, so Dr. Bircher said I could wait 3-9 months to see how things develop. He also pointed out the right hip isn’t going to get better, so it’s just a matter of how long to wait. He didn’t pressure me at all to go forward with replacing the right hip, but I was convinced it was the right thing for me to do.

3 months after total replacement of the left hip, Dr. Bircher replaced the right hip. Recovery went smoothly and I’m now 3 months post-surgery on the second hip. I’m walking 3-6 miles almost every day pain free! My range of motion is vastly improved. I’m looking forward to being able to zip around more with the grandkids this next summer instead of watching from the sidelines. I look forward to walking and fishing the shores of the river for hours at a time, instead of fishing until I’m too sore to continue.

I can’t begin to express my complete satisfaction with the results of my two hip replacements. I was so very impressed not only with Dr. Bircher’s skill as a surgeon, but just as importantly the trust I had in him throughout the process. From the very beginning he took the time to explain everything and never was in a hurry to get to the next patient when I was meeting with him. He gained my trust with his demeanor, openness, and interest in my situation. That eliminated any apprehension I might have with the upcoming procedures. I would highly recommend Dr. James Bircher for anyone considering joint replacement surgery. He is the BEST!

During the month of July 2015, I had a full knee replacement on my right knee. My recovery time was 90 days before I could walk without a wooden pole. However, in order to remodel the first level of our single-family home in November 2015, I still had to maintain a daily intake of pain medication to perform manual work seven days per week. This intake continued until December 2015.

I was introduced to Dr. Bircher at your new TCO Plymouth location and I had a full left knee replacement in February 2024. Physical therapy was performed at TCO Maple Grove. Something was very different this time and the healing process was entirely different. That same month, I ceased taking pain medication and Tylenol. There was obviously a much faster recovery time than my 2015 procedure.

The question is, “what changed to cause such a difference in recovery?” I don’t think the actual replacement procedure, nor the replacement devises have changed much in eight years. There is only one major factor that could alter the healing time as much as it did, and that would be the knowledge and skill of Dr. Bircher. In addition, Dr. Bircher has great bedside manner.

In summary, I would like to mention and give credit to the two PT’s that pushed me and guided me through the post-op recovery process. Elsie Olsen and Therese Owen have great personalities and skills. They worked hard and encouraged me to complete the recovery process properly and in a short time frame. Both of them are very pleasant to be around!

After a fall with 4 years of terrible pain, Dr. Bircher eliminated the pain and corrected my short leg to match my good leg. Thank you, Dr. Bircher!

With years of aches and two prior knee surgeries it was time for a replacement that previously was denied by another physician due to a blot clot issue. Dr. Bircher and I had an open discussion about the clot issue and after careful testing and consultations it was agreed that the surgery could be done with minimal concern. I felt Dr. Bircher and Kari Gabrielse, PA-C were serious and straight forward of the pros and cons of having the surgery as well the physical therapy necessary after the surgery which wasn’t easy. I felt so positive of the overall process they took me through, the support staff in the OR, and the after-surgery care from the hospital staff that I could only rate them as 5 STAR practitioners.

I had a recent total right knee replacement by Dr. Bircher and I am so happy with the outcome! I was surprised that I had no pain during recovery, just slight discomfort, and I was back to work sooner than I expected. My whole experience from scheduling the surgery, having surgery, and physical therapy was all so positive! My knee feels great!! I will request Dr. Bircher for my left knee replacement as soon as I’m able. Keep up the excellent work!!

It was almost by accident that I had Dr. Bircher do my surgery. He just happened to be available for my initial diagnosis. It was a very lucky day for me. This was my second knee replacement, so I had a pretty good idea what I was in for. My surgery and recovery were absolutely fabulous and beyond any expectations I had. Words cannot describe how happy I am with the results. His PA, Kari Gabrielse, is caring and a joy to work with as well. Highly recommend this team if you are considering knee surgery.

Dr Bircher and his team did a great job replacing my arthritic hip. I had no trouble recovering and my hip feels great.

Dr. Bircher did an amazing job to fix my original hip replacement that left me with an uneven leg and fractured femur. His expertise corrected the leg length and gave me a stable implant. He is an excellent surgeon that cares about his patients! His whole team is fabulous!

I had a knee replacement in Michigan in 2012. About 6 years later I began experiencing pain and had an X-ray which showed loosening of the prosthesis. Foolishly, I let it go, moved to Minnesota, and limped along. Finally in 2023, I consulted Dr. Bircher who discovered my prosthesis was literally hanging by a thread. He explained all the risks of surgery as well as the advantages, and he performed the operation in October 2023. The results have been fantastic. I was in an immobilizing soft cast for 3 weeks but already walking with a walker within days of the surgery. I have had no pain. I have been doing home therapy and outpatient therapy at the excellent TCO facility in Plymouth. I have a new lease on life. Dr. Bircher is a compassionate surgeon with tremendous experience and I can recommend him highly. You cannot go wrong with Dr. Bircher.

My previous knee replacement (with another doctor) not only failed, but also damaged my tibia and twisted my leg. It was necessary to place a rod in my leg and repair my femur and tibia to hold the new replacement. My recovery has been faster and less painful than either of my previous knee replacements. I credit Dr. Bircher‘s skill for making my recovery so swift.

Dr. Bircher worked with me for arthritis pain in my right leg. After some injections and waiting out the pain (while recovering from a different surgery) we were ready for hip replacement. Dr. Bircher encouraged me to stop smoking and I am now on 7 months of no smoking. Surgery went wonderfully. I woke up and as I was walking around, he was in my hallway to check on me. The pain was gone right away. He talked me through a lot of pain before surgery, but I’m so glad I did it.

My injury came from stepping onto a step stool. I went to urgent care and was told see an orthopedic doctor. TCO was the only provider I could get in to see someone within a couple days instead of weeks. Dr. Bircher was very attentive and evaluated my knee and talked through my options. I went with the injection but after some months the pain returned and I decided with Dr. Bircher’s guidance to have total knee replacement. I cannot say enough about how smooth the surgery and recovery went. The EXCEL Program was wonderful and the physical therapists, Kristina and Jared, were the best. At 3 months post-surgery I am walking 4 miles a day and feel great. Thank you Dr. Bircher!

I am completely impressed by every facet of Twin Cities Orthopedics and am happy to share my experience. Getting a full knee replacement is a tough decision and they answered every question I posed. The surgery was a success, led by Dr. Bircher, who is supported by an incredible staff. The immediate post-treatment care could not have gone better. I felt like I was in a 5-star hotel, but more than that, it was the people working there who are so wonderful and genuine.

The physical therapy was harder than I expected but I received incredible coaching on what to do, with just the right amount of prodding. Thank you for fixing this problem which I have been dealing with for a very long time. I feel great and it is thanks to Dr. Bircher and the TCO staff!

I have nothing but good to say about Dr. Bircher and his entire care team! I was more than adequately educated about and prepared for my surgery beforehand. The entire process from beginning to end went smoothly. Considering what I expected, my pain was controlled and tolerable. I never would have thought in a thousand years that I would be driving again in two and a half weeks and getting around without my walker or cane in four weeks. Sixteen weeks out I feel great! I did not find the pre-surgery and post-surgery exercises at home burdensome in any way and doing them diligently really made my PT sessions productive.

So my left knee feels great after surgery and my right knee feels really good too. I’ll be doing what I can to try to keep it that way but, should my right knee deteriorate in the future I know who to contact to help me and I have no concerns about going through the process again if I have to.

Dr. James Bircher is a fantastic surgeon. He was very interested in all levels of my health from our first meeting. It has been 3 months since surgery and Dr. Bircher is still following up. The physical therapy department is also very educated, dedicated, and thorough. Three months ago it was hard to do almost everything. Today my knee is 100% better. Thank You Dr. Bircher and TCO!

I had hip surgery in March 2023. The efficiency and communication during this time was excellent. The care team kept us informed before, during and after the  surgery. I am very happy with the great job Dr. Bircher did.

In early March of 2023, I fell on some ice and tore my quad. Dr. James Bircher performed surgery the next morning at North Memorial Hospital in Maple Grove. He was kind, open, and honest with me the whole way through. I’m 76 years old and the pain and healing process went amazingly well! Thanks to Dr. Bircher’s surgical skills, along with his staff. I seem to be doing just fine. My other remarks are about my physical therapists at TCO. Leah and Nichole were simply the best I could ask for!

Dr. Bircher is the most professional physician and with good bedside manner. I feel most comfortable talking with him. He did a great job with my right femur surgery. I’m very satisfied.

Dr. Bircher did revision surgery on May 25, 2023. He replaced a previous total knee replacement. He was thorough in his explanation of the procedure and the inherent risks. The surgery went well and the results border on miraculous. In 6 weeks I was climbing stairs with only minor difficulty and driving. In 8 weeks I was back to work and resuming most normal activities. Thank you Dr. Bircher.

Dr. Bircher is the best! I’d been fighting a knee replacement for years. When I met him in November, I knew my knee was pretty bad. We talked about knee replacement but he could tell I wasn’t ready. He told me I would know when I was ready. That reality hit me in February of this year. I couldn’t have asked for better results after the surgery. I was accepted into the TCO EXCEL Program, which I strongly suggest you try if you are able to. The nursing staff was exceptional at the hospital right after surgery as were the nurses at the Recovery Suites. The EXCEL nurse coordinator kept in contact with me to make sure all was well. Everyone involved was great.

Before I had my surgery, I told Dr. Bircher all I wanted was to be able to come back and tell him that I wish I had done the surgery sooner. I was happy to oblige! I am now scheduled for a total knee replacement on my other knee. I know not all surgeries have the same results but I am counting on Dr. Birchers skill to pull it out! Dr. Bircher always made sure he answered all my questions and spent as much time with me as I needed to feel comfortable. He is concerned, compassionate and very skilled. That is not something you find in too many doctors/surgeons these days. I look forward to a normal life again!

Dr. Bircher performed a full knee replacement in April and upon completion of 12 weeks of physical therapy at TCO Brooklyn Park, I’m back to working out at my health club and enjoying my life again without knee pain. The staff at TCO are totally amazing in working with patients to obtain the necessary range of motion in our recovery.

When I first saw Dr. Bircher, I was unable to walk without a walker. The pain was intense. I was scheduled for surgery within a month. The surgery went great. The day after surgery I was able to stand and walk without pain. I’m looking forward to Dr. Bircher doing a left knee replacement for me this fall. Dr. Bircher and his care team truly care about their patients.

Dr. Bircher is awesome. After falling and breaking my hip previously, a surgeon at another practice repaired my hip using three screws. That repair just didn’t heal properly. I was then referred to Dr. Bircher. He evaluated the situation and recommended a total hip replacement as a second surgery to remove the screws and put in a new hip. The recovery went as expected and I am now virtually pain free and recovering on schedule. Dr. Bircher has excellent “bedside manners” and is not only good at what he does, but seems to enjoy what he does. Thank you so much Dr. Bircher, you are my hero.

I was suffering with a swollen leg and agonizing pain for one full year until I met Dr. Bircher and his entire care team at TCO. I was seeing another physician and he thought everything was going okay and that it could take a full year to see progress.

I went to see Dr. Bircher and he took an X-ray of my knee. He saw right away what the issue was and assured me that he could help me. He arranged my surgery in less than one month. Two weeks after surgery I was feeling better with no pain. Now, three months later, I can jog around with no pain or swelling. I feel so much better now.

I was so depressed before seeing Dr. Bircher and his staff. I can teach Martial Arts again. I fully trust Dr. Bircher and I wish he could have helped with my previous orthopedic issues.

My experience with everyone at TCO, Dr. Bircher, Cassie, and the physical therapy team at TCO Woodbury was exceptional. My questions and concerns were answered promptly. I feel like I had a lot of support with my recovery. I would recommend anyone to see Dr. Bircher because my experience was excellent.

I had a total knee replacement in November 2022. It was a successful surgery and I was doing great until I slipped on ice four weeks after the surgery. I tore the quadricep muscle from the knee and was barely able to move. I was referred to Dr. James Bircher, a specialist in injury repair. Dr. Bircher was absolutely fantastic. He took the time to explain what had happened to my knee, explained the surgical repair procedure and possible outcomes. He really took the time to listen to me.

What really impressed me was that he was never rushed. I felt as if he listened to me and took the time to thoroughly understand the issues surrounding my injury. When I had questions after our initial meeting, he called me back that day. He met with me a second time before the surgery, just to alleviate my fears and concerns. When it was time for the actual surgery, three weeks after the injury, he took great care of me. He made sure I understood everything and that I was as comfortable as possible. The surgery was very successful and Dr. Bircher remained in close contact with me after the surgery, making sure I understood how the healing would go. He also called me at home once I was discharged from the hospital.

I believe Dr. Bircher is one of the best doctors/surgeons I have ever met. His caring compassion and his skills and expertise make for the perfect combination. I would highly, highly recommend Dr. Bircher!

Dr. Bircher and staff were professional, personable and knowledgeable. I would recommend him!

I was referred to Dr. Bircher for my hip joint infection. He was very compassionate about my situation and proceeded to fix the infection. It started with a spacer that included antibiotics and two different IV antibiotics for 6 weeks. We made sure infection was cleared up and then proceeded with my second total hip replacement. I am optimistic and feel good about this one. Thank you Dr. Bircher.

I had been dealing with knee pain for years. It finally got to the point where cortisone was not bringing any relief and I needed to walk with a cane. Before my surgery, I could not walk very far. My knee was so unstable and walking in my yard was impossible. Dr. Bircher was highly recommended to me by another TCO surgeon (Dr. Cammack, a foot and ankle specialist). Even though I was nervous about having surgery, Dr. Bircher’s kindness and attention to detail made me feel it was time to do it. Surgery went great, and I could tell right away that my knee was better. I had not felt that stable on my knee with no stabbing pain in so long.

I went through the EXCEL program and I would highly recommend going that route if you can. The staff at EXCEL Care Suites were so great! If you are looking for a knee replacement surgeon, I would highly recommend Dr. James Bircher. I cannot say enough great things about my experience. Why did I wait so long? It just took me finding the right surgeon and his team.

I recently had a total knee replacement with Dr. Bircher in March of 2023. He explained everything clearly and answered all my questions. He was unhurried and gave his undivided attention. He was also very accommodating to not only myself, but to my family. Dr. Bircher is clearly a skilled surgeon who cares about his patients.

I had troubles with bone-on-bone knee pain. I went through an exam to determine the requirements for a knee replacement. I met with Dr. Bircher and he explained the whole process and procedure. He successfully repaired my right knee and I am completely satisfied with the great care and post-op therapy. Dr. Bircher’s friendly attitude, positivity, and confidence helped with the process. I am now considering when to have my left knee replacement done too. Thank you, Dr. Bircher!

When I came to TCO Maple Grove with a painful hip condition, I had “muddled through” years of pain. I couldn’t walk normal distances or stairs without holding on to someone or something to steady myself. Activities like dressing, driving, getting in and out of a seat were challenging. I passed on social gatherings that involved walking. When I saw Dr. Bircher and his staff, he asked me specific questions about my symptoms, my lifestyle, and my goals for an improved lifestyle. Then he and his staff gave me their diagnosis and goals to aim for. I also had other health issues related to exercise, blood pressure, and breathing. He worked with my other doctors to coordinate the timing, treatments, and specific surgical requirements to assure my safety and a positive outcome. It worked! I am enjoying activities again and I am improving at a pace that’s comfortable for me, based on my goals and abilities. Don’t wait. See Dr. Bircher ASAP if you are in pain. Life can be fun!

Dr. Bircher truly cares about his patients. He took his time with me, answering my questions before surgery and afterwards. I am very satisfied with how my hip surgery turned out. I chose Dr. Bircher because he has a genuine concern for his patients.

Dr. Bircher is a very nice physician with warm and friendly characteristics. I am very appreciative for his good work and for taking care of me.

I was referred to TCO by my primary care doctor and chiropractor. My leg and knee hurt so much, I could hardly walk. I saw Dr. Bircher at TCO and what a great surgeon he is. From my first visit to after surgery, he always explained what to expect with my total knee replacement. I am now three months after surgery and my knee is doing great. Dr. Bircher said there would be pain and there was! But now it is so much better. That is all in the past. Thank you, Dr. Bircher.

I fell in October and was transferred by ambulance to the emergency room. I found out I had a broken hip and I had surgery the next day with Dr. Bircher. Since surgery, I haven’t had any problems with my hip and it was a quick recovery. I had two follow-up visits with Dr. Bircher and I explained my knee problems. After looking at the x-rays, he explained the options to me. Dr. Bircher is a good listener and is very good at calming me down! He was very thorough. I would definitely recommend Dr. Bircher.

My husband went to see Dr. Bircher for a consult. I would give Dr. Bircher an A+ for bed side manners. His personality was so gentle. I really appreciated his caring attitude. We will be back.