The document outlines the 5 main steps of a total knee replacement procedure: 1) Making an 8-10 inch incision to access the kneecap; 2) Rotating the kneecap to prepare the thighbone; 3) Carefully measuring and cutting the thighbone; 4) Attaching a metal femoral component to the thighbone and sealing it in place with bone cement; 5) Preparing the shinbone by removing damaged bone and cartilage from the top.