Apple has had huge problems and missteps entering the market in China: I think they are a good case study and Zimmer is/should be considering. Apple tried to enter China without a strong partner and do it the American way. Zimmer is much smaller than Apple and will be more constrained to do it the Chinese way.... A strong partner, and with some technology transfer and preferable some local Chinese manufacturing will all be required IMO , to not have Apple like issues.... BTW graft is still ingrained in certain industries in China .... although it has been getting better...