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I have had two surgeries this year to remove scar tissue from the "fat pad" inferior area of my right knee, including the anterior interval. The last surgery they also removed a suprapatellar plica that was supposedly compressing 1/3 of my knee capsule. The problem is that now it seems I have come full circle back to my original complaint - pain in the lateral "fat pad" area - the area that bulges out of the lateral side of my patella tendon. Since they supposedly removed most of the fat pad, I unfortunately have a large lump of scar tissue there now in its place that is a result of the two arthroscopic portals. My gut tells me that I need to have open surgery to remove that large lump of portal scarring. The tissue injury from all the work they do with the portals just leaves me with more scarring. My gut also tells me that this large lump is rubbing against the synovium and causing synovitis. It is a very painful situation, on weight-bearing and walking. Is my gut right? And would this surgerical remedy be possible?