Sherry T. I have had both knees replaced by the age of 50 by Dr LaButti which I am very thankful for so when my husband had issues I sent him there. Dr LaButti could have said surgery is needed but he did not, he said unless he was worried about how his arm looked or unless he was a professional sports person he did not need surgery. My husband was all ready for surgery but was so relieved when it was not needed…. So my story is I trust Dr LaButti to do what’s best for us.