61 years old Female patient* had Severe Osteoarthritis of both her Knees since 5 years. She was otherwise healthy and active lady but due to her severe knee pain she was finding it extremely difficult to walk properly, climb stairs and do activities of her daily living. She was getting more and more dependent on others for getting her regular work done. There was a constant fear of falling due to her unstable knees. More than knee pain, her loss of independence was her major concern. She underwent Total Knee Replacement Surgery for both her knees at the same time under same anesthesia at Ratan Hospital. She could walk on the very next day after the surgery and was discharged after five days of hospital stay. She is back to her active life with excellent movement at both her knees and is no more dependent on others. Doing Bilateral Knee Replacement at the same time requires special surgical expertise, vast experience, modern anesthesia and pain management equipment and an aggressive physiotherapy protocol.