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Restore Your Knee. Don't Replace It.

GAE (genicular artery embolization) is a minimally invasive, same-day treatment for knee osteoarthritis pain that may help you delay, or potentially avoid, knee replacement.

No incision No implant No hospital stay Keep your natural knee
Book a Knee Pain Consultation (800) 827-4267
FDA
FDA-cleared technology
Performed by fellowship-trained specialists

Before you replace your knee, compare your options

95%

of patients did not go on to knee replacement within two years after GAE

Based on published GAE outcome data with two-year follow-up, in which about 5% of patients went on to knee replacement. These are observed outcomes, not a promise that GAE prevents surgery — results vary, and some knees will still need a replacement.

GAE Knee Replacement
Keeps your natural knee
Removes bone and cartilage, replaces the joint
Minimally invasive
Major surgery
Pinhole access
Surgical incision
No implant
A metal-and-plastic implant
Outpatient, home the same day
A hospital surgical procedure
Recovery in days
Recovery in weeks to months
Preserves your future options
Permanently changes the joint

Knee replacement is major surgery

For severe, end-stage arthritis it can be an excellent treatment, and for some knees it's the right call. But it's a big operation: damaged bone and cartilage are surgically removed and replaced with metal and plastic components, followed by surgical healing, rehabilitation, and physical therapy. Risks worth understanding before you decide:

Infection
Blood clots (DVT or PE)
Significant post-operative pain
Stiffness
Scar tissue (arthrofibrosis), which can cause persistent pain and loss of motion
Pain that persists in some patients
Implant-related complications
The possibility of future revision surgery
GAE entry point GAE entry point
GAE: pinhole. A small bandage.
Knee replacement incision Knee replacement incision
Replacement: incision. Sutures and weeks of healing.

GAE is fundamentally different. It treats the abnormal blood vessels and inflammation driving the pain: no incision, no bone or cartilage removed, and no implant placed inside your knee. Most patients feel only mild soreness afterward, with lower risks of infection, blood clots, and anesthesia problems.

Days vs. weeks to months.

Downtime is what most people worry about, and here the two are worlds apart.

GAE

Back to life in days. A same-day outpatient procedure with a tiny access point, and most patients return to routine activities relatively quickly.

Knee Replacement

Recovery takes weeks to months. Surgical healing followed by rehabilitation and physical therapy.

An active senior man playing pickleballAn active senior man playing pickleball

What will it cost?

Cost follows the setting. One happens in a hospital, the other in an outpatient suite.

GAE

Usually costs less. An outpatient procedure with no hospital stay. Many plans cover it, including Medicare, IEHP, and most PPOs.

Knee Replacement

Typically more expensive. A hospital surgery with implant and therapy costs, so the total runs higher even with good insurance.

A grandfather relaxing on a park bench while his granddaughter whispers in his earA grandfather relaxing on a park bench while his granddaughter whispers in his ear

GAE doesn't burn bridges

GAE does not structurally alter your knee, so if you ever do need a knee replacement, that option remains fully available.

And in appropriate patients, GAE can potentially be repeated if symptoms return down the road.

Knee replacement is irreversible. GAE preserves your options.

Which treatment may be right for you?

An honest look at where each option tends to fit. Your specialist confirms the right path after reviewing your imaging.

GAE may fit if…

Your knee pain limits daily life, but you are not ready for major surgery
Injections, medication, or physical therapy have stopped helping
You want to stay active with little downtime
You would like to delay or avoid a joint replacement
Surgery carries extra risk for you because of other health conditions

Knee replacement may fit if…

You have severe, end-stage arthritis with bone-on-bone changes
Your knee is stiff or deformed and hard to straighten
Less invasive options have already been tried without lasting relief
You are healthy enough for surgery and prepared for the recovery
You want a long-term, definitive fix and are ready for the process

FAQ

Everything you need to know

Straight answers on how the two options really compare, from the specialist who performs them.

Dr. Pushpinder Sivia
Dr. Pushpinder Sivia
Board-certified · GAE specialist
“
We're not here to talk you out of surgery. We're here to make sure you know there are other options first.

Not exactly. GAE relieves arthritis pain without surgery, and for many people it delays or removes the need for a replacement. But it does not rebuild a joint that is already worn out. For severe, end-stage arthritis, a knee replacement may still be the better long-term answer. The right choice depends on your knee and your goals, which is what a consultation is for.

Not sure which path is yours? Let's look together.

Book a knee pain consultation with our GAE specialist. We'll review your knee, explain your options clearly, and help you decide, with no pressure.

Book a Knee Pain Consultation
or call us directly (800) 827-4267