The final paper explores the key role of physiotherapy in the rehabilitation of obese patients after orthopedic surgery, especially joint replacement surgery such as hip and knee replacement. Emphasis is placed on the specific needs and challenges faced by obese patients during rehabilitation. Furthermore, the importance of early mobilization after surgery and the contribution of physiotherapists who help patients in training for independent performance of basic daily activities are highlighted. Adaptation of rehabilitation programs to obese patients is studied, with special emphasis on specific challenges and causes of excess body weight, such as pain and discomfort management and improvement of joint mobility and general functionality through therapeutic exercises and other methods. The importance of educating patients about the role of physiotherapy and realistic expectations for recovery is also emphasized. Individualized rehabilitation plans, cooperation with a multidisciplinary team, proper weight management and nutrition, and prevention of complications such as wound healing problems and respiratory and cardiovascular complications are explained. The key role of physiotherapy in optimizing the recovery of obese patients after orthopedic surgery is emphasized. The general goals of physiotherapy, such as pain management and control, regaining mobility and achieving functional independence, should be specifically considered and adapted in the case of physiotherapy for obese people with hip and knee arthroplasties. This is necessary in order to ensure a safe and successful rehabilitation, as well as the prevention of possible complications. The importance of adjusting the therapy according to the body mass, mobility and specific needs of each patient is emphasized. Also, the role of physiotherapists in encouraging and providing positive support to help patients stay committed to their rehabilitation regimen is emphasized.