Total Joint Assessment Centre


The Total Joint Assessment Centre (TJAC) is located at the General site on the 1st floor, West Lobby, Specialty Care Clinic.

TJAC logo

Total Joint Assessment Centre Logo
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. 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.


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

Resources and videos

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)

Patient Guides

Total Hip Replacement Surgery Patient Guide

Total Knee Replacement Surgery Patient Guide

Same Day Surgery Patient Guide

Treatment and Surgery Guides

Non-Surgical Hip Treatment

Non-Surgical Knee Treatment

Hip Replacement Surgery

Knee Replacement Surgery

Less Waiting. More walking. The total joint assessment centre shortens wait times for patients that require hep and knee replacement surgeries.