Bernstein JA, Sharan M, Lygrisse KA, et al. - Researchers assumed that requirement for an interpreter after total joint arthroplasty would impact discharge disposition and length of stay. A retrospective chart review was conducted to include patients at a single large urban academic institution undergoing single primary total joint replacement from July 2016 to November 2019. Individuals were classified as primarily English speaking (E), non-English primary language and did not require an interpreter (NE-N), or non-English primary language and did require an interpreter (NE-I). They obtained data on patient characteristics, length of stay, and discharge disposition. The communication barrier that exists influences both length of stay and discharge disposition for both total hip arthroplasty and total knee arthroplasty, although interpreter services are provided by the hospital for interpreter patients.