Performing a surgery always comes to a step after non-surgical interventions are tried. But for How Long? When to Say Enough? I Would like to share the experience of one such patient who came to me with complaints of knee pain since 7 years with difficulty in walking, climbing stairs, and even getting in and out of the car and thus hampering his activities of daily living. After a thorough examination and seeing the x-rays, I realized the knees had worn out beyond a point and the patient would benefit only with a Total Knee Replacement. Hence, I advised the patient to strongly think about it. But he being scared and not very comfortable with the idea of going under the knife, he tried to pull on with non-surgical treatment, and the majority of it was with pain killers. Over time his requirement of these painkillers only grew.