Abstract: A whole-patient system for joint replacement care has seven intrinsic steps/features, which apply both to the patient care method itself and to the overall administrative system which embodies the method. These key seven steps are: (1) Patient evaluation and pre-screening; (2) Body Mass Index assessment; (3) Diagnostic study selection protocol; (4) Operating room set-up protocol; (5) Joint size and type selection and delivery; (6) Procedure length duration estimation; and (7) Post-operative nausea/vomiting and pain management. These steps are institutionalized into a business method in which each is particularly documented.