High tibial osteotomy is the most suitable treatment for knee artheitis oatients in Indian scenario. its results are better then knee replacment sugery and is much less expansive. this is getting success and high applause. person spends much less money in HTO and there is no limitaion of any kind of moevment like sitting crossleg.this is done regularily by Dr A K Agrawal at STMC, Kanpur UP. Dr AK Agrawal is renowned orthopedic consultant trained at various centre in Switzerland, Germany, Singapore, etc.He has done lot many HTO surgeries . people suffering from knee pain come from whole country to him and get relief without under going for expansive knee replacment.