Patient management and education are essential for successful fast-track hip/knee arthroplasty. Individual risk stratification as well as educational seminars play an important role in optimizing preoperative risk factors. Preoperative risk factors are discussed, and optimization strategies are highlighted in the context of the current literature. Further, our own results of an interdisciplinary patient seminar and apatient information app shall be discussed. In addition to the authors' own strategy concerning preoperative patient management and the execution of the patient information seminar and app, the essential papers from the literature will be discussed. Preoperative risk factors (diabetes, obesity, anaemia, etc.) bear the danger of aprolonged length-of-stay with increased morbidity and mortality. Preoperative optimization can reduce the risk of complications and minimize the failure of the fast-track pathway. Educational seminars and patient information apps may reduce anxiety and postoperative analgesic consumption. Agood preoperative patient management in fast-track arthroplasty can reduce the risk of complications and aprolonged length-of-stay. Acomprehensive patient education with educational seminars and an app contributes to optimally preparing the patient for surgery.