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Patients commonly report difficulty kneeling after total knee arthroplasty (TKA) as it is one of the most neglected activities postop due to a variety of reasons. Data and research have suggested that there is little to no association between range of motion and kneeling ability. This suggests that patients are able to kneel but elect not to. Reasons for patients not electing to kneel seems to be varied which include pain or discomfort in knee fear of harming the implant or hearsay advice from others. There is currently no evidence on whether patients should kneel or not on their replaced knee, and reasons for not kneeling could be addressed through education and rehabilitation. The purpose of this study was to retrospectively assess patients' ability to kneel after TKR after 6 months follow-up duration.