I have had two major surgeries under Dr. Jacobson's expert care. Both knees have been totally replaced: 2009 and April 2016. Each one went very smoothly; healing process was very good and Dr. Jacobson's professionally care and expertise is what made both surgeries so successful. I cannot praise him highly enough, We are truly blessed int he Moscow/Pullman area to have an orthopedic surgeon of his quality and demeanor!