Adams CT, O’Connor CM, Young JR, et al. - Although same-day discharge (SDD) total joint arthroplasty (TJA) is increasingly popular, concerns remain regarding patient safety, complication rates, and unforeseen overnight admission (failure to launch; FTL). Researchers here retrospectively studied data of 1,200 consecutive SDD-TJA candidates in the community hospital setting with the aim to determine their outcomes. Among these 1,200 SDD patients, 582 and 618 underwent THA and TKA, respectively; mean age was 62.1 years; 595 were females and 605 were males. Relative to general anesthesia, spinal anesthesia was more common. A total of 85 FTLs (7.1%) occurred. The risk of FTL was noted to be higher in correlation with using general anesthesia. Overall findings support the safety of performing SDD-TJA at community hospitals, however, general anesthesia should be avoided to reduce the risk of FTL. Inpatient programs may allow young surgeons to attain experience with SDD-TJA while retaining overnight admission as a safety net for their patients.