Background: Gender equity in healthcare ensures equal access to services and resources for all individuals, regardless of gender. Studies show that patients’ gender influences their healthcare experiences and decisions, and societal gender preferences impact surgeon selection. Therefore, the objective of this study was to address the surgeons’ gender preferences among Saudi Arabia’s population. Methods: This study used a cross-sectional research design and survey methodology to gather data from a representative sample of adults aged 18 and older from the general population in Saudi Arabia. This study used SPSS version 26 for statistical data entry and analysis, employing descriptive and inferential statistics, frequency distributions, descriptive statistics, and multivariate analysis using multiple logistic regression for variables significantly associated with population gender in univariate analysis. Results: This study involved 2085 participants, with 51.2% aged 18–25, 18.4% aged 26–35, 16.7% aged 36–45, and 13.8% aged 45 and above. The majority were Saudi Arabian, with a majority holding a university degree. The majority worked in the healthcare sector, while the remaining 29.7% were unemployed. This study found that there were significant gender preferences among survey respondents for different types of surgical procedures. Male participants preferred male surgeons for routine non-emergency visits and sensitive obstetric, genital, sexual, and minor procedures (p < 0.001). Female participants, on the other hand, had no preference for emergency surgeries and major surgical procedures (p < 0.001). This study found that participants were more likely to prefer female surgeons for regular non-emergency visits to the surgery clinic (p < 0.001; aOR = 2.344). Additionally, participants had a high preference for female surgeons for sensitive cases (p < 0.001; aOR = 7.064) and minor surgical procedures (p < 0.001; aOR = 2.489). Conclusion: This study underscores the significance of cognizance and the incorporation of a patient’s gender preferences when selecting surgical procedures, thus fostering an environment that is more accommodating and focused on the patient.

Knee osteoarthritis (OA) accounts for almost 80% of the worldwide burden of OA, with a pooled global prevalence of 22.9% (95% CI, 19.8–26.1%) in individuals aged 40 years and older. Total knee arthroplasty (TKA) is a highly effective procedure for treating knee OA. The length of stay (LOS) after TKA is an important measure of care quality, and predicting it can assist in optimizing patient recovery and healthcare strategies. This study aimed to evaluate the LOS and re-admission rates following TKA at Prince Metaab Bin Abdulaziz Hospital in Saudi Arabia. This retrospective, observational, analytical study included 194 patients who underwent primary TKA at Prince Metaab Bin Abdulaziz Hospital from January 2019 to June 2024. Data were collected from electronic health records and included demographics, LOS, mobility, blood transfusions, re-admissions, ASA grade, and postoperative complications. A negative binomial regression model was used to identify the factors associated with LOS. Statistical analysis was performed using SPSS version 27, with a P -value of < .05 considered significant. The median age of the patients was 63 years. Most patients were females (77%), while 72% and 26% were obese and overweight, respectively, and 15% were smokers. The median LOS was 4 days, and 47.4% of the patients stayed for 4–6 days. Re-admission occurred in 6.7% of cases, and the most common reasons being infection, joint pain, and knee stiffness. Postoperative complications occurred in 10% of the patients. A stepwise negative binomial regression model revealed that postoperative mobility (Exp(B) = 0.578, P < .001) was associated with shorter LOS, and ASA grade 2 patients were more likely to have a shorter LOS than ASA grade 3 patients (Exp(B) = 0. 749, P = .002). Dyslipidemia (Exp(B) = 1.522, P < .001) and smoking history (Exp(B) = 1.407, P < .001) were associated with a longer LOS. This study identified postoperative mobility, dyslipidemia, ASA grade, and smoking history as factors influencing the LOS after TKA. Improving early mobilization and managing comorbidities, such as dyslipidemia and smoking, may reduce LOS, enhance patient outcomes, and reduce healthcare costs.