The purpose of this study was to investigate the influence of tibial stem geometry on stress shielding of the tibia for patients with a total knee replacement. Finite element analysis was used to study different tibial stem geometry types, as well as a vast array of different geometric sizes. Both a peg and stem type geometry were analyzed and compared in order to determine what type geometry causes the least amount of stress shielding. A static loading condition with a dynamic loading factor of three was used for the system and the stress responses were analyzed at regions of interest at various depths. Regions of interest include the posterior and medial regions, at depths ranging from the resurfaced tibial surface to 100 mm below the surface. It was found that the smallest stem/peg sizes produced the least amount of stress shielding, indicating that the less amount of foreign material within the tibia, the more natural the bending and stress response of the tibia. It was also concluded that for the loading conditions used in this study, peg type geometry yields a decreased amount of stress shielding when compared to stem type geometry. This is due to the fact that the peg type geometry allowed for more natural bending and a distributed loading transfer between two pegs rather than one long central stem. Further studies should be completed on other geometry types in order to understand how to best replicate the natural bending of the tibia.