We lead Canada’s largest implant retrieval program, housing more than 6,000 hip, knee, and shoulder implants removed during revision surgery. Using advanced imaging and surface characterization tools like micro-CT, coordinate measurement, profilometry, and electron microscopy, we analyze wear, corrosion, and damage mechanisms at the bone–implant interface. By linking these findings with implant design, surgical factors, and patient data, we identify why some implants integrate and last longer than others.