Caliper verified kinematic alignment (KA) caused a paradigm shift in the alignment of total knee arthroplasty (TKA) that began in 2006. This presentation presents findings from peer-reviewed studies from the international scientific community showing better results than the traditional mechanical alignment (MA) philosophy; a 'one alignment fits few' approach instead of a personalized surgery. The presentation defines the KA targets for TKA. Emphasizes that KA requires caliper verification of femoral bone resections, and manual instruments more accurately perform the resections than all robotic platforms. The critical step in balancing the TKA and reducing undesirable outcomes, including chronic pain, stiffness, and instability, is to restore native medial and lateral tibial compartment forces, which KA does and MA does not. Regarding longevity, KA implant survival is comparable or better than MA. Finally, KA enables quicker recovery and better clinical outcomes than MA.