Obesity is a well-recognised global epidemic. In the last 30 years, worldwide obesity has doubled. The prevalence of obesity in India is 12 to 31 per cent in various age groups. About 22 to 39 per cent Indian population suffer from osteoarthritis (OA) of the knee. The most significant impact of overweight on bone and joints is associated with degenerative OA of the knee. The treatment of end stage osteoarthritis of knee is surgical — total knee replacement (TKR). Good lifestyle incorporating a balanced diet, physical fitness and exercises lowers the risk of obesity and thus the risk of OA