Infection that occurs deep within the body after arthroplasty is a severe and harmful complication. Registry data indicates that modern positive-pressure surgical helmet systems (SHS) may lead to a contradictory rise in infection rates, therefore creating uncertainty about their effectiveness in arthroplasty. The objective of this study was to examine the helmet systems used in total joint arthroplasty, specifically focusing on the technique for putting on the helmet and assessing the sterility of the sterile surgical helmet system (SSHS) during arthroplasty. When utilizing these helmets, it is important for the surgeon to avoid placing objects near the axillary region due to the gown's seam potentially having a reduced ability to prevent particle contamination. Surgical High Speed (SHS) is highly recommended for use in arthroplasties. It is highly advisable to securely seal the area where the gloves and gown meet, and to replace the outer gloves every hour in order to minimize the chances of contamination from SHS. Corresponding author: