Hip and knee replacements are common procedures in Canada that improve mobility and reduce pain for individuals suffering from severe arthritis. To support pre- and post-surgical care, tailored exercise programs are integral. Unfortunately, access is often limited. This is especially true in rural areas, where cultural and language barriers persist. The Healthy Hips and Knees program offered by YMCA BC caters to those awaiting or recovering from surgery. Despite high demand, the program is currently available only in Prince George. To address this, YMCA BC hopes to expand its reach across British Columbia. The research team will collaborate with YMCA-BC to co-develop a research agenda. We will develop a plan to increase program reach and accessibility, particularly in underserved communities and groups. We will also ensure the program can continue over time. In addition, we have an evaluation plan to check how effective the program is, how well it is being adopted and implemented, and how it is maintained. This project will enhance care delivery for people with hip and knee replacements while identifying funding opportunities to sustain program expansion.