Purpose of Review <p>Balance training is an integral component of postoperative rehabilitation after total knee arthroplasty (TKA). This scoping review summarizes the existing methods for assessing and training static and dynamic balance after TKA, with special attention to virtual reality (VR)-based balance training.</p> Recent Findings <p>Proprioceptive insufficiency can be measured directly or indirectly as balance deficits using standardized functional performance tests or sophisticated posturographic instruments. Despite extensive evidence, there is no standardization regarding the optimum timing, duration, and dosage of balance training after TKA. Recent VR-based interventions use game-based exercises to train balance and proprioception, facilitating adherence and serving as a valuable alternative to conventional methods.</p> Summary <p>Both static and dynamic balance components are invariably affected after TKA, hence the need for targeted training, extending well into the intermediate postoperative phase. Future studies should determine the optimum phase, mode, and dosage of balance training to develop standardized protocols for this population.</p>