“…The late Kerr White MD, the founding chair of The Department of Health Policy and Management at Johns Hopkins University and the Deputy Director for Health Care Services for the Rockefeller Foundation stated it another way in Medicine & Culture [11], ''About 15% of all contemporary clinical interventions are supported by objective scientific evidence that they do more good than harm.'' In orthopaedic surgery specifically, questions have been recently raised about the effectiveness of common operations such as knee arthroscopy [7], knee replacement [13], and spinal surgery [9].…”