Charles Toulson, MD, MBA: Founder of the SURRE Knee–A New Era in Knee Replacement

Dr. Charles Toulson, MD, MBA, board-certified orthopedic surgeon and founder of the SURRE KNEE approach, smiles in a professional portrait. He is recognized as one of the nation’s leading experts in hip and knee replacement.

Charles Toulson, MD, MBA, is an orthopedic surgeon who is committed to excellence. From a young age, he realized that his aptitude for medicine could help people living with chronic pain, and he dedicated his life to becoming a pioneer in the field of orthopedic surgery.

Board-certified and fellowship-trained, Dr. Toulson’s specialties and interests include adult hip and knee reconstruction, adult hip and knee revisions, and state-of-the-art robotic-assisted joint replacement. He is regarded by his patients and peers as one of the leading orthopedic surgeons in the country.

Exceptional Education and Training

Dr. Toulson’s impeccable educational pedigree includes a medical degree from the University of North Carolina at Chapel Hill, extensive training from Johns Hopkins Hospital, and sub-specialty training at the Hospital for Special Surgery in New York — the number-one ranked orthopedic hospital in the country.

The SURRE KNEE: Revolutionizing Knee Replacement

In keeping with his mission to deliver the best possible outcomes for his patients, Dr. Toulson is the founder of the SURRE KNEE — a groundbreaking approach to total knee replacement based on the Subvastus Rapid Recovery Experience (SURRE) technique. This innovative method combines the precision of robotic-assisted surgery with a minimally invasive, muscle-sparing approach that prioritizes patient comfort, quicker recovery, and exceptional long-term results.

Unlike traditional knee replacement methods, the SURRE KNEE spares the quadriceps tendon by working beneath the vastus medialis muscle. This reduces surgical trauma, which in turn minimizes post-operative pain, speeds up mobility, and allows many patients to walk unassisted within days of surgery.

When paired with robotic assistance, the SURRE KNEE ensures customized alignment and implant positioning, delivering a more natural feel and improved joint function.

Key Benefits of the SURRE KNEE Approach:

  • Reduced pain and swelling compared to traditional knee replacement
  • Faster recovery times, allowing patients to resume normal activities sooner
  • Early mobility due to the muscle-sparing technique
  • Highly precise implant placement using robotic technology

As the creator of the SURRE KNEE, Dr. Toulson has redefined what patients can expect from knee replacement surgery. His commitment to innovation, combined with compassionate, patient-focused care, ensures that each individual receives the highest level of treatment — with less downtime, better mobility, and superior results.

Outpatient Joint Replacement Program

Dr. Toulson is also a forerunner in same-day or next-day joint replacement surgery. The reason for his success is his minimally invasive, muscle-sparing surgical technique. His patients are returning to their active lifestyle quicker than ever before.

Because the SURRE KNEE technique minimizes soft tissue disruption and significantly lowers pain levels after surgery, many patients are able to walk within hours of their procedure. This rapid recovery allows them to safely go home the same day, avoiding an overnight hospital stay.

Patients benefit from:

  • Lower risk of hospital-acquired infections
  • Recovery in the comfort of their own home
  • Earlier return to daily activities and physical therapy
  • Reduced overall healthcare costs

By combining advanced anesthesia protocols, precise surgical execution, and thorough pre- and post-operative care, Dr. Toulson has built one of the region’s most effective and patient-friendly outpatient joint replacement programs.

Successful Outcomes

“When patients come to see me with arthritis, we often try non-operative means of treatment before we talk about surgery,” says Dr. Toulson. Once non-operative options for hip or knee arthritis are exhausted, Dr. Toulson sits down with patients and details the benefits and the risks of a total joint replacement.

One of Dr. Toulson’s recent patients was suffering with severe arthritis in her knees. “I was having severe pain in my knees, I had difficulty going up and down stairs, steps, even the curb. It hurt so bad to walk, even short distances,” she says. The results of her bilateral (both) knee replacement procedure have been life changing. “The surgery went wonderfully. I haven’t had any problems and every day it gets better and better. I can walk up the steps now getting into my home,” she says.

Highlights of success stories and the joy his patients express at the outcome of their hip or knee replacement surgeries — and how it’s changed their lives — are documented on his website, drcharlestoulson.com, with videos and moving testimonials.

Awards and Accolades

It’s no surprise that Dr. Toulson has been named among the Best Doctors in Dallas for orthopedic surgery by D Magazine nine times and among the Best Orthopedic Surgeons in Collin County by D Magazine six times. He has also been awarded Best Orthopedic Surgeon for nine consecutive years by Living Magazine, along with being named Best Orthopedic Surgeon for the past five years by Living Well Magazine.

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