The purpose of study was to investigate kneeling ability after total knee replacement. 100 patients who were at least one year following routine uncemented primary total knee replacement were identified. 32% of patients stated they were able to kneel without significant discomfort. 64 (64%) of patients were actually able to demonstrate kneeling ability without pain or discomfort or with mild discomfort only. 24 (24%) of patients were therefore unable to demonstrate the ability to kneel because of discomfort in the knee. There was no difference in the “kneelers” and “non-kneelers” with regard to overall knee score, range of motion and the presence of patella resurfacing.