OUR STRATEGY  > INNOVATION AND EDUCATION More Patient Options More Surgeons Trained More Clinical Results REACHING MORE PATIENTS ON THE CONTINUUM OF CARE ALLIANCES GIVE ZIMMER INSTITUTE GLOBAL REACH Surgeons train in an MIS knee  procedure at the Zimmer Institute  in Warsaw, Indiana. As the leader in reconstructive orthopaedics, Zimmer offers compre- hensive hip and knee products and procedures for all stages on the contin- uum of care. (See pages 10-11.) For example,  Durom TM Hip Resurfacing, developed by Centerpulse, is a new solution for early-stage hip treatment (currently available in some countries outside the U.S.), while our  Trilogy ® System of acetabular constrained  liners, which we launched in the United States in 2003, is designed  for late-stage hip revision surgery. We’re also continuing to expand the range of patients who can benefit from  Minimally Invasive Solutions Procedures . Excluding instruments, we invested $20 million in our  MIS development program in 2003. In 2004, that number is expected to increase by 50% to almost $30 million. Another way to expand the benefits  of  MIS Procedures is by providing more and more training to surgeons in these technically demanding proce- dures. We opened a state-of-the-art Zimmer Institute in March 2003, at our headquarters in Warsaw, Indiana. We have established major  MIS teach- ing relationships with such preemi- nent institutions as Johns Hopkins University School of Medicine. Through these relationships, affiliated surgeons establish a local Zimmer Institute to instruct surgeons on our MIS surgical procedures, participate in product development, and con- tribute to clinical outcomes studies. We also achieve global reach through webcasts of  MIS surgery, such as the April 2003 global webcast of the Zimmer  MIS Mini-Incision Total Knee Arthroplasty with interactive com- mentary from faculty surgeons. 4 ZIMMER  MIS TOTAL KNEE REPLACEMENT  PROCEDURE ZIMMER  MIS TOTAL HIP REPLACEMENT  PROCEDURE Traditional  Incision 25-30 cm Zimmer  MIS Mini-Incision 6-8 cm Zimmer  MIS 2-Incision 4-5 cm each Traditional Incision 20-30 cm  large quadriceps snip  Zimmer  MIS Mini-Incision 9-14 cm 2-4 cm quadriceps snip Zimmer  MIS Quad-Sparing Incision 7-10 cm no quadriceps snip MIS 2-Incision results  are documented in studies  of 1,200 patients