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.