Surgery is treatment option reserved for patients with particularly severe form of arthritis for whom conservative treatments have been ineffective. The goal of various surgeries is to relieve pain and improve function while correcting deformity that is creating pain. Surgery plays a great role in improving the quality of the life of these patients and varies from simple procedures such as correction of toe deformities to extensive reconstructions in spine surgery .It is of course imperative before undertaking any surgical procedure that the surgeon and the rheumatologist carefully assess the patient and discuss the treatment strategies .Controlling the diseases as much as possible with medication and improving the general well being before undertaking major surgical procedures goes long way in ensuring a good surgical result for patient.