Dear Robert,
The operation on your knee should be done before the 10th of December. Generally, it is not an easy operation. The result won't be much more improvement than it is now, but I want to be democratic, and do as you feel.

The following pujas should be done at Sera monastery in the Lama Yeshe khamtsen:

• Gyab-shi: once
• She-nyin dü-dog: three times

Ask your family and friends to read the Golden Light Sutra before and during the operation.

Of course, I will make prayers for you. My wish is that you are not in samsara but be enlightened now.

With much love and prayers...