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Total Knee Replacement (Bilateral) Cost in Spain

USD 11450 - USD 22900

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Estimated Treatment Cost
USD 11450 - USD 22900
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How Much Does Total Knee Replacement (Bilateral) Cost in Spain?

The cost of Total Knee Replacement (Bilateral) in Spain is USD 11450 - USD 22900

However, this cost can vary depending on several factors, including the type and severity of the condition, treatment techniques chosen, the healthcare facility's location and reputation, the treating professionals' experience and specialisation, and the patient's overall health status.

Additionally, factors like the duration of treatment, the need for follow-up care, and the use of advanced technologies or specialised treatments can further influence the overall cost.

Factors Influencing the Cost of Total Knee Replacement (B/L):

  • Type of Procedure: Cost can be affected depending on the condition.
  • Hospital and Location: Healthcare costs vary by location. Hospitals in urban areas or those with higher operating expenses may charge more than rural hospitals.
  • Pre-Treatment Tests: Diagnostic imaging such as MRI and CT can add to the cost.
  • Post-Treatment Care: Rehabilitation, medications, and follow-up consultations also impact the expenses.
  • Length of Hospital Stay: Hospital stays may become more expensive due to complicated surgeries or complications.

A total knee replacement, or knee arthroplasty, is a surgical technique for repairing a knee damaged by arthritis. The kneecap, made of plastic and metal components, caps the ends of the bones that make up the knee joint. Individuals with severe arthritis or knee injury may be candidates for this procedure.

Many types of arthritis can impact the knee joint. The degenerative joint disease osteoarthritis primarily affects middle-aged and older people and can lead to the degeneration of the knee's joint cartilage and surrounding bone. Inflammation of the synovial membrane and excess synovial fluid are two symptoms of rheumatoid arthritis, which can cause stiffness and pain.

What's included in your Total Knee Replacement B/L quote?

Total Knee Replacement (Bilateral)
Surgical replacement of both knee joints with artificial implants to relieve pain and restore mobility
Orthopaedic surgeon consultation
Pre-surgery evaluation, treatment planning, and post-operative follow-up consultations
Hospital stay & supportive care
Surgery, anaesthesia, inpatient care, nursing support, and recovery monitoring
Key: Follow-up monitoring
X-rays, physiotherapy guidance, and routine follow-up visits
Visa & medical-visa invite letter
Airport pickup & transfers

Cost of Total Knee Replacement B/L in Major Cities of Spain

City Cost (USD)
Barcelona $11,450 – $22,900 Explore More
Bilbao $11,450 – $22,900 Explore More
Madrid $11,450 – $22,900 Explore More
Marbella $10,305 – $20,610 Explore More
Torrevieja $10,305 – $20,610 Explore More

Total Knee Replacement Bl - Spain Vs the World

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Fauzia Zeb Fatima
Author

M.Pharm

4 Years of Experience

Last Reviewed - June 2026

Fauzia Zeb is a distinguished medical and scientific content writer with a robust academic foundation in pharmaceutical sciences, holding a B.Pharm and M.Pharm degree from prestigious institutions, including MIT and Jamia Hamdard University. Her comprehensive expertise in pharmacology, clinical sciences, and biomedical research enables her to translate complex medical and scientific concepts into precise, evidence-based content tailored for diverse audiences. Specializing in peer-reviewed articles, clinical blog posts, and research-driven publications, she demonstrates a consistent ability to bridge the gap between advanced medical science and accessible, audience-specific communication.
View More
Dr. Manoj Miglani
Reviewer

Orthopedic Surgeon

22 Years of Experience

Last Reviewed - June 2026

Known for his soft-spoken nature, Dr. Manon Miglani had completed his MBBS from Maulana Azad Medical College and MS (Ortho) for All India Institute of Medical Sciences. Dr. Miglani was awarded AO spine fellowship from Queen’s Medical Center, Nottingham and he also received Stryker fellowship in Arthroplasty from Indraprastha Apollo Hospital. Dr. Manon Miglani has provided his expert services to various hospitals of Delhi and NCR including AIIMS, Indraprastha Apollo, Jaipur Golden hospital, and Artemis hospital Presently, Dr. Manon is the additional director of Fortis, Vasant Kunj and senior consultant at Fortis, Shalimar Bagh.
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Total knee replacement, also known as Total knee arthroplasty. It is a surgical procedure in which a damaged or diseased knee joint is replaced with an artificial joint or prosthesis. This procedure is typically performed to alleviate pain and improve the function of the knee when conservative treatments have been unsuccessful.

Total knee replacement surgery is generally effective in relieving pain and improving the quality of life for individuals with severe knee joint problems.

A bilateral knee replacement surgery is performed when both knees are damaged or diseased. If only one knee is affected, then the surgeon recommends the patient undergo the replacement of just one knee, a procedure known as unilateral knee replacement surgery.

Following are some of the indications for bilateral knee replacement surgery

  • Osteoarthritis
  • Post-traumatic arthritis
  • Rheumatoid arthritis
  • Knee deformity
  • Vascular necrosis
  • Swelling
  • Inflammation of the cartilage surrounding the knee

Total knee replacement is performed to alleviate chronic knee pain and increase mobility in individuals with extensive joint damage due to osteoarthritis, rheumatoid arthritis, or injury. The purpose is to regain function, alleviate stiffness and pain, and promote overall quality of life.

You should consult a doctor if you experience long-standing knee pain, stiffness, swelling, walking difficulty, or limited motion that is not relieved by medications, physical therapy, or lifestyle changes. Early assessment identifies whether or not surgery or other treatments are indicated.

Preparation involves an imaging test, a blood test, and a medical assessment. Some medications need to be discontinued, chronic diseases need to be controlled, and patients must fast before surgery. Physical therapy pre-operatively and home preparation might also be advised.

  • Incision: An incision is performed over the front of the knee to expose the joint.
  • Removal: Debris, bone and cartilage are excised from the femur, tibia, and patella.
  • Bone Shaping: Bone surfaces are reshaped to accommodate the implants precisely.
  • Implant Placement: Metal pieces are attached to the femur and tibia; a plastic spacer is inserted for smooth gliding.
  • Securing Implants: Implants are secured with bone cement or press-fit for bone growth.
  • Closure: The wound is closed with stitches or staples, and a dressing is placed.

Surgery typically lasts 1–2 hours. Hospital stays are 1–3 days. Depending on their mobility and health, some patients can be discharged on the same day.

  • Infection
  • Blood clots
  • Implant loosening or wear
  • Knee stiffness or decreased range of motion
  • Nerve or blood vessel damage
  • Persistent pain or requirement for revision surgery

  • Improved pain relief
  • Increased joint mobility and function
  • Increased ability to walk and carry out daily activities

Recovery involves physical therapy beginning within a day of surgery. Patients walk with walkers or crutches at first. Most can return to normal activities within 6–12 weeks, although full strength and range of motion can take several months. Compliance with rehabilitation is essential for long-term success.

Total knee replacement is highly successful, with over 90% of patients finding relief from pain and increased mobility. Implants normally function for 15–20 years; most patients resume active lifestyles.

Explore Hospitals ( 10 )

Barcelona, Spain

JCI
Starting
USD 26050

Barcelona, Spain

JCI ISO
Starting
USD 28000
Starting
USD 25220
Starting
USD 26720
Starting
USD 28000

Bilbao, Spain

Starting
USD 43000
Starting
USD 32000

Barcelona, Spain

JCI
Starting
USD 25690

Torrevieja, Spain

ISO
Starting
USD 30000
Starting
USD 22780

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Process Involved for Total Knee Replacement B/L in Spain

  • Consultation with a specialist: An orthopedic surgeon will assess the patient's condition, medical history, and functional limitations.
  • Preoperative testing and imaging: X-rays, MRIs, and CT scans determine the degree of damage and plan therapy.
  • Personalised Treatment Plan: The surgeon reviews the different types of implants, anesthesia options, and projected recovery time.
  • Surgical Procedure: Both knees are replaced with prostheses in a single procedure, which includes removing diseased bone and cartilage before inserting the replacement joints.
  • Postoperative Care: Recovery consists of pain treatment, physical therapy, and follow-up sessions to evaluate the healing process and guarantee optimal joint function.
  • Osteoarthritis
  • Rheumatoid Arthritis
  • Post-Traumatic Arthritis
  • Knee Fractures
  • Avascular Necrosis
  • Knee Joint Deformities
  • Failed Previous Knee Surgeries
  • Individuals suffering from severe knee arthritis, which is typically caused by osteoarthritis, rheumatoid arthritis, or post-traumatic arthritis.
  • Patients who have chronic knee pain and stiffness that severely limits their daily activities despite conservative therapies.
  • Candidates with joint deterioration in both knees require simultaneous replacement for the best long-term results.
  • Patients who have failed non-surgical therapy but are otherwise fit to have surgery.
  • Cemented Implants
  • Uncemented Implants
  • Hybrid Implants
  • Metal-on-Metal Implants
  • Ceramic-on-Ceramic Implants
  • Ceramic-on-Polyethylene Implants
  • Patella Resurfacing
  • Ligament Repair or Reconstruction
  • Osteotomy
  • Physiotherapy
  • Reduces the pain and stiffness caused by knee arthritis and other degenerative knee conditions.
  • Restores mobility and function, allowing for better performance of daily activities.
  • Enhances quality of life by reducing or eliminating chronic knee pain.
  • Increases long-term mobility while decreasing the risk of immobility-related problems.
  • Modern implants can last 15-20 years, providing long-lasting effects.
  • Orthopedic Surgeon
  • Physiotherapist
  • Fill out the inquiry form: Fill out the form to provide us with the relevant information about your condition.
  • Consult with Our Healthcare Expert: One of our qualified specialists will contact you for a consultation.
  • Receive a Detailed Treatment Plan: After examining your situation, we will provide you with a detailed treatment plan that includes expert views and cost breakdowns for various choices.
  • Choose your preferred option: Choose the treatment option that suits you the best.
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Frequently Asked Questions

Knee replacement is usually done to relieve any disturbance or pain in the weight-bearing joints, that is, the knee. It can involve minimally invasive surgical procedures and go up to total knee replacement. Therefore, the cost varies between 6000 USD to 20000 USD for a knee replacement in Spain. The highest this can go is to 55000 USD.

  1. Knee Replacement - Minimally Invasive Surgery can cost around 6000 USD to 8000 USD.

  2. Knee Replacement - Revision Surgery can cost around 11500 USD to 14500 USD.

  3. Knee Replacement (Total Knee Replacement) Surgery can cost around 13000 USD to 19500 USD.

Like any other surgical treatment, the cost depends on presurgical requirements, operation costs, and post-surgical requirements. Presurgical costs include pathological tests, radiological investigations, and any additional assessment prescribed by your doctor. Surgical costs include the instruments required for the surgery, implant cost, hospital cost, and the cost based on the consultants involved in the case. Post-surgical costs include medical bills for the drugs, follow-up consultations, and the cost of any supportive equipment or medical gear.

The knee replacement procedure is also known as arthroplasty. It involves the process of exchanging a damaged and weakened knee joint with an artificial one. It is performed for various arthritic knee diseases such as osteoarthritis, rheumatoid arthritis, and psoriatic arthritis mostly brought upon by old age. Other causes include ligament tears, joint dislocation, meniscal tears & cartilage damage.

Following are some of the most common types of Knee Replacement available in Spain -

  1. Partial Knee Replacement - It is done when only part of the knee is damaged or has any defect. Any damaged tissue structures or bony particles are removed while the rest of the knee is preserved and protected. The average cost of partial knee replacement in Spain is USD 6,000.

  2. Total Knee Replacement - The knee joint is a typical hinge joint and joins the thigh to the lower portion of the leg. The lower portion of the thigh and upper portion of the lower leg constitute the knee joint. In a total knee replacement, the damaged portion of the joint is replaced with artificial material such as a biocompatible implant or polyethylene post. It is usually recommended in cases of severe arthritis. The average cost of Total Knee Replacement in Spain is USD 13,000.

  3. Minimally Invasive Knee Replacement - This method uses modern equipment that is usually smaller in size when compared to other orthopedic instruments. Smaller incisions are made to access the knee joint and treat the damaged or affected portion of the knee joint. This surgery is usually done by experienced surgeons and shows better results in terms of avoiding capsular damage. It is also less painful post-surgery and recovery time is shorter. This type of surgery costs around USD 8,000 in Spain.

  4. Revision Knee Replacement Surgery - After a total knee replacement, a revision surgery might be needed for cases where the implant gets infected or becomes loose. Since the knee joint is frequently used, the implant might also incur wear and tear due to the friction. A part or total prosthesis or implant might have to be modified during this surgical process. The type of arthroplasty undertaken depends on the degree of damage to the knee joint. Revision Knee Replacement costs around USD 12,000 in Spain.

Some of the top hospitals for knee replacement in Spain are :

  • Madrid Quironsalud University Hospital
  • Hospital Quironsalud Barcelona
  • Centro Médico Teknon
  • Clinica Universidad de Navarra
  • Hospital Quironsalud Torrevieja
  • Fundación Jiménez Díaz University Hospital
  • Quironsalud Marbella Hospital
  • Ruber Internacional Hospital
  • University General Hospital of Catalonia
  • IMED Levante Hospital
  • Clinica Santa Elena

Some of the top orthopedic surgeons performing knee replacement surgery in Spain are -

  1. Dr. Oscar Ubaldo Penalba Suarez

  2. Dr. Alvaro Saez-Arenillas Martin

  3. Dr. Ramon Cugat

  4. Dr. Lluis Orozco

  5. Dr. Robert Soler

  6. Dr. Enric Caceres

  7. Dr. Xavier Mir

  8. Dr. Mariano de Prado

The success rate of knee replacement in Spain is very high. It can go up to 85% - 90% with most patients living a comfortable life for over 10-15 years without major risks or complications post-surgery. Regular exercise and follow up is to be done post-surgery.

Knee replacement is gaining immense popularity in Spain as this procedure is very successful in the country. The average success rate is over 95% at world-class hospitals across the country. The long-term success rate of knee transplant is also very high. The high success rate is generally because of experienced doctors, advanced medical technology, and world-class hospitals.

Anyone who is willing to undergo knee replacement will have to get evaluated to evaluate the health condition. They will have to schedule several appointments to consult the doctor and get various tests done before undergoing the surgery. Urine analysis, X-rays EKG, and lab testing would be performed. Depending on these test analyses and the health history, the doctor will decide if the patient is fit for the surgery. Their medical risk will be thoroughly evaluated before surgery. The doctor makes sure that the risks of a hip replacement don’t outweigh the benefits. The costs of evaluation and diagnostic tests which are associated with knee replacement in Spain are 1000 and 1500 USD respectively.

There are several factors that affect the cost of knee replacement in Spain. Some of these are:

  • The type of surgery used and material of the implant preferred.
  • There might be post-surgical complications requiring additional treatment.
  • The type of hospital and facilities available.
  • The currency of the country.
  • The cost of treatment will be more if the patient has any pre-existing conditions that need to be addressed to avoid any complications.
  • A surgeon’s fee will depend on the experience and their highest qualification.
  • Diagnostic tests are done so that the surgeon can determine their overall health status. This also assists in detecting any condition in the patient.
  • Age of the patient because treatment cost is higher for elederly patients.

Some of the best surgeons for Knee Replacement in Spain are:

  • Dr. Aamer Malik : Dr. Aamer Malik is a top orthopedic surgeon in Spain. He carries more than 15 years of experience and has received training from reputed institutions in Spain, the United States, and Kenya. His expertise lies in reconstructive surgery of the hip and knee in adults, both prosthetic as well as arthroscopic. He is also trained in minimally invasive surgery & anatomical deformities in patients having osteoarthritis. The doctor has a teaching position at Sagrat Cor University Hospital. He is also a consultant in Sports Injuries at Catalan Football Federation
  • Dr. Javier Albiñana : Dr. Javier Albiñana is a popular Orthopedist with more than 39 years of experience. He has expertise in treating hip Perthes disease, dysplasia, bone tumors, fractures, bone lengthening & foot conditions. He is a member of the Paediatric Orthopaedic Society of North America, International Paediatric Orthopaedic Think Tank Group, European Paediatric Orthopaedic Society and its Scientific Committee, and Argentinian Paediatric Orthopaedic Society.

Below are some approaches to Knee Replacement in Spain:

  • Minimally Invasive Knee Replacement : The midline skin incision is twice the length of the patella in a minimally invasive total knee arthroplasty. A parapatellar arthrotomy is generally performed. In this technique, a surgeon makes use of a shorter incision and uses a less-invasive technique to expose the joint to lessen postoperative pain and obtain speedy recovery. Unlike conventional total knee replacement, this popular technique might not be suitable for all patients. The orthopedic surgeon will discuss various surgical options with the patient. The cost of Minimally Invasive Knee Replacement in Spain is 24000 USD.
  • Anterior technique : A popular technique for knee replacement in Spain, the anterior approach provides more exposure and is quite useful for knee replacement, fixation of intra-articular fracture, and open anterior cruciate ligament reconstruction. Unlike other approaches which expose the knee from the medial side, this technique exposes the knee joint from the lateral position. The cost of anterior approach to knee replacement surgery in Spain is 26500 USD.

There are a number of reasons to choose Spain for knee replacement and these are:

  • The cost of knee replacement surgery in Spain is lower than in other countries.
  • The hospitals in Spain are accredited by renowned accreditation organizations such as the Joint Commission International.
  • Knee replacement surgeons in this country are trained to perform many types of joint replacement surgeries.
  • There is less or no waiting time. After the medical evaluation is completed, the patient may have an immediate appointment for the procedure.
  • The hospitals offer a wide range of facilities to ensure effective care to all patients coming from other countries.
  • Spain has many top hotels and tourist attractions. The patient can have a good rehabilitation time while they stay in the country.

Some of the best hospitals in Spain for Knee Replacement include:

  • Teknon Medical Center - Quironsalud, Barcelona : Teknon Medical Center is a leading tertiary care facility, which offers a wide range of services across multiple medical specialities. The hospital is popular for high quality treatment with modern technology as well as best doctors. The team of experts at the hospital provide personalized care services. As a popular hospital in Spain, the hospital maintains superior standards of medical care across all the specialities. Teknon Medical Center has Joint Commission International (JCI) accreditation.
  • Quirónsalud Barcelona Hospital, Barcelona : Quirónsalud Barcelona Hospital is a reputed hospital in Spain, which keeps upgrading its technology to provide the best care. The hospital offers excellent services across multiple specialities and is backed by a team of highly trained and qualified doctors under each field. This team ensures that patients receive personalized & quality treatment. The hospital has got the latest technological updates in the field of medicine and surgery. Advanced surgical techniques like robotic surgery provide the advantage of a minimally invasive technique with high accuracy and precision.
  • Quirónsalud Madrid University Hospital, Madrid : Quirónsalud is a leading hospital in Spain. The hospital group has a huge experience of over 60 years in providing quality medical care to patients across the world. The hospital is a teaching hospital that brings together extensive research as well as clinical practices under a single roof. A popular hospital in Spain, the hospital offers a broad spectrum of medical facilities to both domestic and international patients.

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