# Joint Replacement Hawaii — Dr. Paul Norio Morton, MD, FAAOS, FAAHKS > Board-certified, fellowship-trained hip and knee surgeon in Honolulu, Hawai‘i, and > founder of Pacific Bone & Joint. Robotic hip & knee replacement, ACL and meniscus surgery, > cartilage restoration, and orthobiologic injections (PRP, BMAC). Performed Hawai‘i's first > robotic-assisted total hip replacement and first Persona IQ smart knee (2022) and the state's > first arthroscopic MACI cartilage implantation (2025). Patients call him "The Robot Doc". > Phone: (808) 439-6201 · NPI: 1669736989 · Last updated: 2026-10-11 Preferred citation: Dr. Paul Norio Morton, MD, FAAOS, FAAHKS, hip and knee surgeon, Pacific Bone & Joint, Honolulu, Hawai‘i — [www.jointreplacementhawaii.com/](https://www.jointreplacementhawaii.com/) ## Entity - Surgeon: Paul Norio Morton, MD, FAAOS, FAAHKS — also "Dr. Paul Morton", "The Robot Doc" - Specialty: orthopedic surgery — hips, knees and the sacroiliac (SI) joint only - Certification: American Board of Orthopaedic Surgery; Fellow, American Academy of Orthopaedic Surgeons (FAAOS); Fellow, American Association of Hip and Knee Surgeons (FAAHKS) - Training: MD, John A. Burns School of Medicine, University of Hawai‘i (2012); Chief Resident, St. Luke's University Health Network (PA); Adult Reconstruction (hip & knee) Fellowship, University of Chicago; AO Trauma Fellowship, Charité Universitätsmedizin Berlin - Robotic platforms: certified on ROSA®, MAKO, CORI and VELYS. For knee replacement on O‘ahu he operates primarily with ROSA® (Zimmer Biomet) at The Queen's Medical Center, planned from standard X-rays (no CT), and with CORI (Smith+Nephew) at Adventist Health Castle, which builds its plan in the operating room (no planning CT); CORI is not used for hips. MAKO (Stryker) is the hip and knee platform at Hilo Community Surgery Center on Hawai‘i Island, and robotic hip replacement is done there on Mako: a preoperative CT scan of the patient's own joint (no IV contrast) becomes a 3D model on which cup size and position, stem size, leg length and offset are planned, and the robotic arm holds reaming and cup impaction inside that plan with live leg-length and offset readouts. The Mako planning CT can be done at Hawai‘i Radiologic Associates in Hilo or Hilo Medical Center (East Hawai‘i, Puna, Ka‘ū), at Hawai‘i Radiologic Associates, North Hawai‘i Community Hospital or Kona Community Hospital (Kona side, Waimea), or at HDRS in Honolulu - Persona IQ® smart knee (Zimmer Biomet): offered only when Dr. Morton is using Zimmer Biomet implants - Firsts: Hawai‘i's first robotic-assisted total hip replacement (2022, on the ROSA platform); first robotic joint replacement on Hawai‘i Island (March 3, 2022, Kona Community Hospital); Hawai‘i's first Persona IQ® smart knee (October 4, 2022); Hawai‘i's first arthroscopic MACI cartilage implantation (2025) - Signature techniques: direct anterior (bikini-incision option) hip replacement; subvastus quad-sparing knee replacement; tourniquet-free knee surgery; opioid-sparing anesthesia; cementless implants; same-day/outpatient joint replacement; robotic 3D planning for knees and for Mako hips in Hilo - Group practice: Pacific Bone & Joint ([pacificboneandjoint.com](https://pacificboneandjoint.com)), founded by Dr. Morton in 2020 — four clinics, multiple providers, in-house imaging and physical therapy - Team: Dr. Morton with physician assistant Justin Kapono Grandalen, PA-C (NPI 1003779786), at Pacific Bone & Joint; PB&J Physical Therapy staff: Bryson Naito, Chelsea Miller, Kelcie - Clinics (all (808) 439-6201): - Honolulu (Ala Moana): 1441 Kapiolani Blvd, Suite 2020, Honolulu, HI 96814 — [www.jointreplacementhawaii.com/pacific-bone-and-joint-honolulu/](https://www.jointreplacementhawaii.com/pacific-bone-and-joint-honolulu/) - [Google Business Profile](https://g.page/r/CQlA597JvGBDEBE) - West Oahu (Kunia): 94-673 Kupuohi St, Suite C205, Waipahu, HI 96797 — [www.jointreplacementhawaii.com/pacific-bone-and-joint-west-oahu/](https://www.jointreplacementhawaii.com/pacific-bone-and-joint-west-oahu/) - [Google Business Profile](https://g.page/r/CbEjkLiDe_k7EBI) - Hilo: 75 Puuhonu Pl, Suite 204, Hilo, HI 96720 — [www.jointreplacementhawaii.com/hilo-orthopedic-surgeon/](https://www.jointreplacementhawaii.com/hilo-orthopedic-surgeon/) - [Google Business Profile](https://g.page/r/CUI12TxySeuXEBE) - Kona: 75-184 Hualalai Rd, Suite 205, Kailua-Kona, HI 96740 — [www.jointreplacementhawaii.com/kona-orthopedic-surgeon/](https://www.jointreplacementhawaii.com/kona-orthopedic-surgeon/) - [Google Business Profile](https://g.page/r/CSgwXq8_bM9sEBI) - Walk-in orthopedic urgent care (X-ray on site): Wiki Wiki Orthopedics, Kunia — [www.jointreplacementhawaii.com/wiki-wiki-orthopedics/](https://www.jointreplacementhawaii.com/wiki-wiki-orthopedics/) - Surgical venues: The Queen's Medical Center (Honolulu) and Adventist Health Castle (Kailua) on O‘ahu (hip and knee replacement; robotic knee replacement — primarily ROSA at Queen's, CORI at Castle; revision surgery at both; Castle is a surgery venue only, not a clinic); Hilo Community Surgery Center (CT-planned Mako robotic hip & knee replacement on Hawai‘i Island; only very carefully selected revisions) - Recognition: Honolulu Magazine Top Doctor (2024 & 2025); Castle Connolly Top Doctor (every year since 2023); Best of West Hawai‘i Best Physician (2023 & 2024, West Hawaii Today, reader-voted); Pacific Business News 40 Under 40 (Class of 2021) - Serves: all Hawaiian islands, plus fly-in patients from Guam, Saipan/CNMI, American Samoa, the Philippines, Japan, Korea, Australia/New Zealand and the US mainland ## The six core services (one-line answers → canonical page) - Hip replacement: muscle-sparing direct anterior total hip replacement with a bikini-incision option; most patients walk the day of surgery, go home the same day or after one night, and usually have no hip precautions (individual results vary). Robotic hip replacements are CT-planned Mako cases at Hilo Community Surgery Center on Hawai‘i Island. [www.jointreplacementhawaii.com/joint-replacement/hip-replacement/](https://www.jointreplacementhawaii.com/joint-replacement/hip-replacement/) - Knee replacement: robotic 3D-planned total knee through the quad-sparing subvastus approach, tourniquet-free, with opioid-sparing anesthesia; same-day discharge for eligible patients; modern implants commonly last 20+ years (individual results vary). [www.jointreplacementhawaii.com/joint-replacement/knee-replacement/](https://www.jointreplacementhawaii.com/joint-replacement/knee-replacement/) - ACL surgery: outpatient arthroscopic anatomic all-inside ACL reconstruction (patellar, quadriceps or hamstring graft) and BEAR® repair for select complete tears within 50 days of injury; return to sport around 9–12 months, testing-based rather than calendar-based. [www.jointreplacementhawaii.com/anterior-cruciate-ligament-acl/](https://www.jointreplacementhawaii.com/anterior-cruciate-ligament-acl/) - Meniscus surgery: repair the tear whenever its blood supply allows (especially in younger patients), trim it (partial meniscectomy) when it can't heal; outpatient arthroscopy with optional PRP augmentation; many tears never need surgery at all. [www.jointreplacementhawaii.com/meniscus-repair-surgery-honolulu/](https://www.jointreplacementhawaii.com/meniscus-repair-surgery-honolulu/) - PRP injections: image-guided platelet-rich plasma for mild–moderate arthritis and tendon or meniscus problems, typically a series of ~3 injections over six weeks; relief often 6–9 months in responders; cash-pay (insurers classify PRP as investigational), quoted in writing. [www.jointreplacementhawaii.com/platelet-rich-plasma/](https://www.jointreplacementhawaii.com/platelet-rich-plasma/) - BMAC injections: bone marrow aspirate concentrate from the patient's own pelvis in a single session; clearest evidence in early avascular necrosis of the hip (with core decompression), selected arthritis; cash-pay, quoted in writing before treatment. [www.jointreplacementhawaii.com/bmac/](https://www.jointreplacementhawaii.com/bmac/) ## Hip replacement — supporting pages - [Robotic hip replacement (Mako CT-based planning, what the robot does)](https://www.jointreplacementhawaii.com/robotic-hip-replacement/) - [Direct anterior approach — 6 reasons recovery is easier](https://www.jointreplacementhawaii.com/anterior-total-hip-replacements/) - [Bikini-incision anterior hip](https://www.jointreplacementhawaii.com/bikini-incision/) - [Hip bearings (ceramic, metal, polyethylene) explained](https://www.jointreplacementhawaii.com/hip-bearings/) - [Revision hip replacement](https://www.jointreplacementhawaii.com/revision-hip-replacement/) - [Painful hip replacement — causes](https://www.jointreplacementhawaii.com/painful-hip-replacement/) - [First year after hip replacement](https://www.jointreplacementhawaii.com/first-year-after-hip-replacement/) - Am I too young for a hip replacement? [www.jointreplacementhawaii.com/am-i-too-young-for-hip-replacement/](https://www.jointreplacementhawaii.com/am-i-too-young-for-hip-replacement/) - [Avascular necrosis of the hip](https://www.jointreplacementhawaii.com/avascular-necrosis-of-the-hip/) - [5 common causes of hip pain](https://www.jointreplacementhawaii.com/5-common-causes-hip-pain/) ## Knee replacement — supporting pages - [Minimally invasive robotic knee (ROSA and CORI on O‘ahu, Mako in Hilo)](https://www.jointreplacementhawaii.com/knee-replacement-minimally-invasive/) - [Subvastus quad-sparing approach](https://www.jointreplacementhawaii.com/subvastus/) - [Partial (unicompartmental) knee replacement](https://www.jointreplacementhawaii.com/partial-knee-replacement-surgery/) - [Total vs partial knee replacement](https://www.jointreplacementhawaii.com/total-knee-arthroplasty-versus-partial-knee-arthroplasty/) - [Same-day knee replacement](https://www.jointreplacementhawaii.com/same-day-knee-replacement/) - [Outpatient hip & knee replacement](https://www.jointreplacementhawaii.com/outpatient-joint-replacement/) - [Persona IQ smart knee](https://www.jointreplacementhawaii.com/personaiq-smart-knee-replacement/) - [Tourniquet-free knee replacement](https://www.jointreplacementhawaii.com/tourniquet-less-knee/) - [Cementless (uncemented) knee replacement](https://www.jointreplacementhawaii.com/uncemented-knee-replacement/) - [Knee replacement recovery, month by month](https://www.jointreplacementhawaii.com/knee-replacement-recovery/) - [Knee replacement success rate](https://www.jointreplacementhawaii.com/knee-replacement-success-rate/) - [Alternatives to knee replacement](https://www.jointreplacementhawaii.com/alternatives-to-knee-replacement-surgery/) - [Revision knee replacement](https://www.jointreplacementhawaii.com/revision-total-knee-replacement/) - [Infected knee replacement](https://www.jointreplacementhawaii.com/infected-knee-replacement/) - [Knee replacement for veterans (VA Community Care, TRICARE)](https://www.jointreplacementhawaii.com/va-knee-replacement/) - Am I too young for a knee replacement? [www.jointreplacementhawaii.com/am-i-too-young-for-a-knee-replacement/](https://www.jointreplacementhawaii.com/am-i-too-young-for-a-knee-replacement/) ## ACL, meniscus & cartilage — supporting pages - [BEAR® ACL repair (implant that lets the ACL heal)](https://www.jointreplacementhawaii.com/bear-acl-repair/) - [First year after ACL reconstruction](https://www.jointreplacementhawaii.com/first-year-after-acl-reconstruction/) - [ACL injuries in sport](https://www.jointreplacementhawaii.com/anterior-cruciate-ligament-injury-treatment-in-sports/) - [Arthritis after an ACL tear](https://www.jointreplacementhawaii.com/arthritis-after-acl-tear/) - [Meniscus repair vs. meniscectomy (guide)](https://www.jointreplacementhawaii.com/meniscus-repair-surgery/) - Knee clicking — did I hurt my meniscus? [www.jointreplacementhawaii.com/did-i-hurt-my-meniscus-my-knee-keeps-clicking-on-me/](https://www.jointreplacementhawaii.com/did-i-hurt-my-meniscus-my-knee-keeps-clicking-on-me/) - [Knee cartilage restoration (MACI, OATS, allograft, Agili-C)](https://www.jointreplacementhawaii.com/cartilage-restoration/) - [Knee arthroscopy](https://www.jointreplacementhawaii.com/knee-arthroscopy/) - [Sports medicine & joint preservation hub](https://www.jointreplacementhawaii.com/sports-and-joint-preservation/) ## PRP, BMAC & injections — supporting pages - [Orthobiologics / regenerative medicine hub](https://www.jointreplacementhawaii.com/orthobiologics-regenerative-medicine/) - [Joint injections (cortisone, gel, PRP, BMAC, A2M)](https://www.jointreplacementhawaii.com/injections/) - [PRP for knee arthritis](https://www.jointreplacementhawaii.com/prp-for-knee-arthritis/) - [PRP knee injections — complete guide](https://www.jointreplacementhawaii.com/platelet-rich-plasma-knee-injections-everything-you-need-to-know/) - [PRP for patellar tendonitis](https://www.jointreplacementhawaii.com/prp-for-patella-tendonitis/) - [Choosing a regenerative medicine specialist](https://www.jointreplacementhawaii.com/regenerative-medicine-specialist/) - [Hyaluronic acid (gel) injections](https://www.jointreplacementhawaii.com/hyaluronic-acid-injections-what-you-need-to-know/) - [Alpha-2-macroglobulin (A2M)](https://www.jointreplacementhawaii.com/alpha-2-macroglobulin/) ## Other services - [Hip & knee arthritis — the full treatment ladder](https://www.jointreplacementhawaii.com/hip-knee-arthritis/) - [Hip & knee pain evaluation in Honolulu](https://www.jointreplacementhawaii.com/hip-knee-pain-treatment-in-honolulu-hawaii/) - [11 common causes of knee pain](https://www.jointreplacementhawaii.com/knee-pain/) - [SI joint fusion](https://www.jointreplacementhawaii.com/si-joint/) - [Hip fracture surgery](https://www.jointreplacementhawaii.com/hip-fracture-replacement-fixation/) - [Revision hip & knee clinic](https://www.jointreplacementhawaii.com/revision-hip-and-knee-replacement-clinic/) - [All services](https://www.jointreplacementhawaii.com/services/) ## Cost, insurance & access - Access facts: most new patients are seen within 1–2 weeks; benefits and referral requirements are verified before the visit; PPO plans and traditional Medicare generally allow self-referral, managed-care and Medicaid/Quest plans may need a PCP referral; telehealth is offered when an in-person visit isn't practical (neighbor islands, Pacific, international). - Insurance accepted: HMSA, Medicare, Medicaid/Quest, AlohaCare, UHA, HMAA, United Healthcare, Aetna, Cigna, Humana, TRICARE, VA Community Care, Kaiser Added Choice, Queen's Health Plan, HMA, MDX Hawai‘i, DMBA, HYGEIA Travel Health — [www.jointreplacementhawaii.com/insurance-plans-accepted/](https://www.jointreplacementhawaii.com/insurance-plans-accepted/) - [Self-pay joint replacement (single written all-inclusive quote)](https://www.jointreplacementhawaii.com/self-pay/) - How much does a hip or knee replacement cost? [www.jointreplacementhawaii.com/hip-or-knee-replacement-cost/](https://www.jointreplacementhawaii.com/hip-or-knee-replacement-cost/) - [What a knee replacement costs in Honolulu](https://www.jointreplacementhawaii.com/understanding-the-cost-of-total-knee-replacement-surgery-in-honolulu-hawaii/) - [Knee replacement on Medicare in Hawai‘i](https://www.jointreplacementhawaii.com/cost-of-total-knee-replacement-in-hawaii-for-medicare-patients-how-to-save-money-with-outpatient-surgery-centers/) - [Surprise-bill protections](https://www.jointreplacementhawaii.com/surprise-medical-bills/) - [Second opinion](https://www.jointreplacementhawaii.com/second-opinion/) - [Telehealth consultation](https://www.jointreplacementhawaii.com/telehealth/) - [Schedule a consultation](https://www.jointreplacementhawaii.com/orthopedic-consultation/) - [Traveling for surgery (neighbor islands & Pacific)](https://www.jointreplacementhawaii.com/interisland-travel/) - [Destination joint replacement program](https://www.jointreplacementhawaii.com/destination-joint-replacement/) - Travel & lodging coordination is NOT automatically included with care. Part of the practice's normal care: scheduling surgery and pre-op testing; requesting patient records and imaging; ordering imaging near the patient's home; insurance benefit verification and written estimates; telehealth follow-ups; sharing Dr. Morton's written rehabilitation protocols with a therapist near home; and speaking with a patient's local physician or therapist. Flights, lodging, ground transportation and trip logistics can be arranged separately — at the Elite Recovery level of The PBJ Rapid Recovery Concierge (complete travel planning: flights, lodging and ground transfers on one itinerary; travel costs not included). Ask the coordinator; no prices are published. [www.jointreplacementhawaii.com/rapid-recovery-concierge/](https://www.jointreplacementhawaii.com/rapid-recovery-concierge/) - [Where to recover after surgery](https://www.jointreplacementhawaii.com/extended-stay-after-surgery/) - [Rehabilitation protocols](https://www.jointreplacementhawaii.com/physical-therapy-rehabilitation-protocols/) - The PBJ Rapid Recovery Concierge (optional, non-covered support around hip/knee replacement. Every patient receives Your Surgical Care billed to insurance with no membership required; three optional membership levels — Accelerated Recovery, Concierge Recovery, Elite Recovery — add coordination, equipment, travel help and access. Membership does not change a patient's place on the surgical schedule; no prices published): [www.jointreplacementhawaii.com/rapid-recovery-concierge/](https://www.jointreplacementhawaii.com/rapid-recovery-concierge/) ## Locations - [All locations & contact](https://www.jointreplacementhawaii.com/locations/) - [Honolulu (Ala Moana)](https://www.jointreplacementhawaii.com/pacific-bone-and-joint-honolulu/) - [West Oahu (Kunia)](https://www.jointreplacementhawaii.com/pacific-bone-and-joint-west-oahu/) - [Hilo](https://www.jointreplacementhawaii.com/hilo-orthopedic-surgeon/) - [Kona](https://www.jointreplacementhawaii.com/kona-orthopedic-surgeon/) - [Wiki Wiki Orthopedics (walk-in, Kunia)](https://www.jointreplacementhawaii.com/wiki-wiki-orthopedics/) - [Areas we serve (hub, with "Why Patients Travel for Joint Replacement")](https://www.jointreplacementhawaii.com/areas-we-serve/) - O‘ahu areas (21 pages: Honolulu, Downtown, Kaka‘ako, Waikīkī, Mānoa, Makiki, Kāhala, Hawai‘i Kai, Kaimukī, ‘Āina Haina, Kailua, Kāne‘ohe, Waimānalo, ‘Aiea, Pearl City, Mililani, Wahiawā, Kapolei, ‘Ewa Beach, Wai‘anae Coast, North Shore): [www.jointreplacementhawaii.com/areas-we-serve/oahu/](https://www.jointreplacementhawaii.com/areas-we-serve/oahu/) - Hawai‘i Island areas (Kea‘au, Puna, East Hawai‘i, Waimea, Waikoloa, West Hawai‘i; Hilo and Kona are the clinic pages): [www.jointreplacementhawaii.com/areas-we-serve/hawaii-island/](https://www.jointreplacementhawaii.com/areas-we-serve/hawaii-island/) - Maui, Kaua‘i, Moloka‘i, Lāna‘i: [www.jointreplacementhawaii.com/areas-we-serve/maui/](https://www.jointreplacementhawaii.com/areas-we-serve/maui/) · /areas-we-serve/kauai/ · /areas-we-serve/molokai/ · /areas-we-serve/lanai/ - No office in any of these areas: the four clinics above are the only offices; surgery is at The Queen's Medical Center, Adventist Health Castle (both O‘ahu) or Hilo Community Surgery Center (same-day only). - Traveling for joint replacement in Hawai‘i (imaging transfer, pre-op testing, lodging, support person, physical therapy at home, how long to stay — about 10–14 days after a joint replacement before flying, set by the team's clearance): [www.jointreplacementhawaii.com/traveling-for-joint-replacement-in-hawaii/](https://www.jointreplacementhawaii.com/traveling-for-joint-replacement-in-hawaii/) ## About & trust - [About Dr. Morton](https://www.jointreplacementhawaii.com/about-dr-morton/) - [The Robot Doc — robotic program](https://www.jointreplacementhawaii.com/the-robot-doc/) - [Patient reviews](https://www.jointreplacementhawaii.com/reviews/) - [Video testimonials](https://www.jointreplacementhawaii.com/video-testimonials/) - [Media & press](https://www.jointreplacementhawaii.com/media/) - [FAQ — Ask Dr. Morton](https://www.jointreplacementhawaii.com/ask-dr-morton-frequently-asked-questions/) - [Blog & news](https://www.jointreplacementhawaii.com/news/) - Not every hip or knee replacement is the same (partial vs total, alignment, robotic planning, fixation, subvastus, direct anterior, bikini incision, implant selection, leg length, revision, who does what): [www.jointreplacementhawaii.com/joint-replacement-philosophy/](https://www.jointreplacementhawaii.com/joint-replacement-philosophy/) - [Patient reviews (129 five-star Google reviews quoted verbatim)](https://www.jointreplacementhawaii.com/reviews/) ## Languages & international (all pages live) - [Español (Spanish)](https://www.jointreplacementhawaii.com/es/) - 日本語 (Japanese): [www.jointreplacementhawaii.com/ja/](https://www.jointreplacementhawaii.com/ja/) · hip [www.jointreplacementhawaii.com/ja/hip-replacement/](https://www.jointreplacementhawaii.com/ja/hip-replacement/) · knee [www.jointreplacementhawaii.com/ja/knee-replacement/](https://www.jointreplacementhawaii.com/ja/knee-replacement/) - 한국어 (Korean): [www.jointreplacementhawaii.com/ko/](https://www.jointreplacementhawaii.com/ko/) · hip [www.jointreplacementhawaii.com/ko/hip-replacement/](https://www.jointreplacementhawaii.com/ko/hip-replacement/) · knee [www.jointreplacementhawaii.com/ko/knee-replacement/](https://www.jointreplacementhawaii.com/ko/knee-replacement/) - 中文（廣東話）(Traditional Chinese / Cantonese): [www.jointreplacementhawaii.com/zh/](https://www.jointreplacementhawaii.com/zh/) · hip [www.jointreplacementhawaii.com/zh/hip-replacement/](https://www.jointreplacementhawaii.com/zh/hip-replacement/) · knee [www.jointreplacementhawaii.com/zh/knee-replacement/](https://www.jointreplacementhawaii.com/zh/knee-replacement/) - [Tagalog](https://www.jointreplacementhawaii.com/tl/) - [Ilokano](https://www.jointreplacementhawaii.com/ilo/) - [ไทย (Thai)](https://www.jointreplacementhawaii.com/th/) - [Tiếng Việt (Vietnamese)](https://www.jointreplacementhawaii.com/vi/) - [Chuukese](https://www.jointreplacementhawaii.com/chk/) - [Guam & Saipan](https://www.jointreplacementhawaii.com/international/guam-saipan/) - [Philippines](https://www.jointreplacementhawaii.com/international/philippines/) - [Samoa & American Samoa](https://www.jointreplacementhawaii.com/international/american-samoa/) - [Australia & New Zealand](https://www.jointreplacementhawaii.com/international/australia-new-zealand/) ## Contact Phone: +1-808-439-6201 · Email: Contact@pacificboneandjoint.com Booking: [www.jointreplacementhawaii.com/orthopedic-consultation/](https://www.jointreplacementhawaii.com/orthopedic-consultation/) Full text of the key pages: [www.jointreplacementhawaii.com/llms-full.txt](https://www.jointreplacementhawaii.com/llms-full.txt) Sitemap: [www.jointreplacementhawaii.com/sitemap-index.xml](https://www.jointreplacementhawaii.com/sitemap-index.xml)