Total Joint Assessment Centre

TJAC logo

Important: TJAC has a new location

The Total Joint Assessment Centre (TJAC) has moved from the 4th floor of the hospital's General site at 4001 Leslie Street to the 1st floor.

If you are already a patient with TJAC, you will be notified by letter if you need to register through the Gulshan & Pyarali G. Nanji Orthopaedic and Plastics Centre or directly in TJAC. If you are a patient and/or family member and not sure where to go, please go to the 1st floor at the General site or call 416-756-6675.
About TJAC
The Total Joint Assessment Centre (TJAC) is an innovative partnership between North York General Hospital (NYGH) and Markham Stouffville Hospital. TJAC was formed to shorten wait times for patients in our community who may require hip or knee replacement surgery.

Our diverse team of expert orthopaedic clinicians cares for patients every step of the way. Following an early consultation for assessment and diagnosis, patients receive either surgical or non-surgical treatment options.If you need surgery, TJAC lets you choose your preferred surgeon, hospital, or the soonest available surgical date.
Enhancing the patient experience

The centre provides patients with an early consultation for assessment and diagnosis. TJAC is an innovative hospital partnership between orthopaedic surgeons at Markham Stouffville Hospital and North York General Hospital.

A patient should receive an appointment with TJAC within two weeks of the referral. On the first visit, a patient is assessed by a clinician — an experienced orthopaedic nurse or physiotherapist.

A comprehensive assessment includes physical, social and lifestyle status. Patients identified as surgical candidates will move on to see an orthopaedic surgeon at a second visit to finalize the decision. This second appointment should be within another two to three weeks.

Options to reduce wait times

Patients assessed at the centre as being candidates for surgery will have options that can reduce their wait time. They may choose surgery with the surgeon of their choice at the hospital of their choice, or with the first available surgeon at either of the two hospitals.

If the assessment determines a patient is either not ready or unwilling to consider surgery, a plan of care will be developed to help the patient and primary care physician manage their condition (e.g. pain control, weight management) to maintain or improve their level of functioning and overall health status.

From a patient's perspective, other factors can affect their willingness to have surgery, such as living circumstances, employment status, age, other health conditions and social support structures.

Contact us
Total Joint Assessment Centre
North York General Hospital, 1st floor
4001 Leslie Street
Toronto ON  M2K 1E1

Directions to the General site
Parking at the General site

Tel: 416-756-6675

Referrals to the Total Joint Assessment Centre must be made by a physician or a family doctor.

Resources and videos
Patient Guide: Total Knee Replacement Surgery Download: Total Knee Replacement Surgery Patient Guide

Video: Total Hip Replacement Surgery at NYGH
The health care team from the orthopaedic department discusses important information to prepare patients for hip replacement surgery. Watch the video (44:52).

Video: Total Knee Replacement Surgery at NYGH
The health care team from the orthopaedic department discusses important information to prepare patients for knee replacement surgery. Watch the video (40:46)

The Total Joint Assessment Centre is reducing the time patients wait for hip and knee replacement.