Neighbor island patients: Hilo, Kona, Maui, Kauai & beyond
Dr. Morton grew up in Kea‘au — he knows exactly what a Hilo-to-Honolulu medical trip costs a family in time, money, and logistics. The program is built to spend your travel wisely: telehealth visits handle consultation and follow-up when a clinic isn't close; X-rays and MRI happen at facilities on your island; and when surgery is the answer, testing, operation, and early recovery consolidate into one planned O‘ahu trip. Hawai‘i Island patients can also be seen in person at the Hilo clinic or the Kona clinic — and most robotic hip and knee replacements can now be done on-island at Hilo Community Surgery Center.

What one trip looks like
For a joint replacement, the typical itinerary runs 10–14 days:
- Day 1–2: arrive, in-person exam, final pre-operative testing
- Day 3: surgery — robotic-assisted, muscle-sparing; walk the same day
- Days 4–10: wound checks and physical therapy near the clinic
- Days 10–14: clearance visit, fly home with a written recovery plan
- After: telehealth follow-ups; PT continues with a therapist on your island

Out-of-state and international patients
Mainland patients — snowbirds, former residents, families with Hawai‘i ties — use the same system: consultation by telehealth (since coming in isn't practical), imaging near home, one planned trip. US insurance typically applies normally (see accepted plans). International patients from Guam and Saipan, American Samoa, the Philippines, Japan, Korea, and Australia/New Zealand get dedicated market pages and written package pricing. The umbrella for all of it is the destination surgery program.
The practical stuff, and who handles it
Part of this the office simply does as part of your care: scheduling your surgery and pre-operative testing, requesting and reviewing your records, ordering imaging near home, verifying your benefits and putting an estimate in writing, sharing Dr. Morton's rehabilitation protocols with a therapist on your island, and answering the questions that keep you up at night — including whether your plan offers interisland travel assistance for off-island care, a benefit many Hawai‘i patients don't know they have. The trip itself — recovery-friendly lodging near the clinic (ground-floor or elevator access, walkable to therapy), flights, ground transportation on O‘ahu and full itinerary management — isn't bundled in, but it can be arranged for you: that is the TotalCare Elite level of the PBJ Rapid Recovery Concierge, and inter-island travel and lodging coordination is also available on its own. Ask when you call: (808) 439-6201.
Medically reviewed by Paul N. Morton, MD, FAAOS, FAAHKS — board-certified orthopedic surgeon, fellowship-trained in adult hip & knee reconstruction and orthopedic trauma.
This page is for education only and isn’t a substitute for an exam and personalized advice — schedule a consultation to discuss your situation.

