In this surgical video, Dr. Jimmy Chow performs a total knee arthroplasty on a 52 year old competitive cyclist using the JOURNEY II XR knee with robotic-assistance from the NAVIO^™ Surgical System. Dr. Chow demonstrates the freedom of handheld robotics to create a customized, intraoperative surgical plan, map patient anatomy, assess joint alignment & balance, efficiently prepare bony anatomy, and evaluate postoperative ROM inside operating room.