Total hip arthroplasty (THA) or total knee arthroplasty (TKA) is a major surgical procedure that can provoke physical as well as psychological stress in patients. It is hypothesized that perioperative patient education helps patients to prepare better for surgery and enhance postoperative recovery. Objective: To evaluate the effectiveness of perioperative patient education program on knowledge and satisfaction among patients undergoing total joint arthroplasty. Materials and methods: A total of 100 patients undergoing THA or TKA were enrolled preoperatively and were randomized into control (50) and experiment groups (50) by covariate adaptive randomization. In the experimental group, along with routine care, perioperative education program was implemented. It included a patient information booklet, demonstration, and return demonstration of pre- and postoperative exercises and transfer techniques. The patients in the control group continued with routine care. Assessment of patient's knowledge regarding surgery and postoperative self-care was done preoperatively, before educational intervention, and at the time of discharge. Patient satisfaction with perioperative information was assessed at the time of discharge using a patient satisfaction scale. Results: There was statistically no significant difference between the pre-intervention knowledge scores of both groups. However, there was a significant improvement in knowledge (p < 0.001) regarding surgery and postoperative self-care as well as satisfaction level (p < 0.001) in participants who underwent an education program than in the control group. Conclusion: Educational booklet combined with exercise program was effective in enhancing patient knowledge and satisfaction. This program is recommended as routine care of patients undergoing total joint arthroplasty.