Bovonratwet P, Shen TS, Islam W, et al. - This study was sought to evaluate the relationship between negative patient-experience comments and perioperative outcomes after primary total hip arthroplasty. Between August 2016-August 2019, the records of 383 patients who had undergone primary total hip arthroplasty were combined with vendor-supplied patient satisfaction data, which included patient free-text comments and the Press Ganey satisfaction survey. Researchers examined a total of 1,295 patient comments for sentiment and negative comments were categorized into nine themes. They compared postoperative outcomes, PROMs, and traditional measures of satisfaction between patients who provided a negative comment versus those who did not. Perioperative variables associated with providing a negative comment were ascertained using multivariable regression. This study’s findings indicate that patient satisfaction seems not to be a reliable sole proxy for traditional objective outcome measures of pain relief and functional improvement.