No Sir. Once will do it. I got Mersa the first one so they had to take that one out (2). Then the third one as a result of Mersa damaging bone the hardware pushed out side of my leg so now I’m getting the last and final one. My leg was so crooked it is hard to walk. You should be fine. Good luck. Make sure you strengthen the legs good before surgery. If there are any questions you think I could answer for you get my email from Henry.