Rheumatoid arthritis is a devastating disease, which can incapacitate a person in activities of daily living. Only after all other methods have been exhausted, should patients undergo surgery for pain relief, mobility, and cosmetic reasons. A lengthy rehabilitative period following the placement of the metacarpophalangeal implants assures maximum mobility in the new joints. Nurses must be aware of their educational responsibilities to the patient before, during, and after the surgery for patient compliance.