After patients have had surgery, we prefer to instruct them in a home rehabilitation program without the aid of a physical therapist. This assures us that the exercises are appropriate and the patient is less likely to be confused by more than one source of information. Despite this, the internet often interferes with this plan. It is important to be realistic about goals and explain that there is often no reward for moving ahead of the planned milestones. The guiding principle is for the surgeon to effectively educate the patient on the goals of therapy. General goals are to improve motion or strength. The exercises are kept simple. If a patient has difficulty understanding the instructions or expresses a desire for more intensive therapy in a facility, they are directed to a well-qualified physical therapist after we are confident that little harm can be done with lack of compliance. If a patient has not had surgery, we embrace the physical therapist for guidance for the patient.