In the treatment of younger patients following total joint replacement there are different methods for inpatient and outpatient rehabilitation. In principal medical rehabilitation of younger patients does not differ from rehabilitation of older patients. However, the rehabilitation process is not restricted by coexisting diseases. Higher demands on function and performance of the artificial joint have to be considered. Especially in younger patients education and information about use, load and sports following total joint replacement are necessary. In this context occupational rehabilitation concerning restrictions caused by the artificial joint and measures for participation in working life is of special importance.