$re = '~\bJohn\b(?=(?>[^"]|(?<!\\\\)")*\\\\"/)~s';
$str = 'John \\"John, Hello there John! \\"/ John looks back. \\"John, oh John! \\"/ Not this John';
$subst = "Joe";
$result = preg_replace($re, $subst, $str);
echo "The result of the substitution is ".$result;
Please keep in mind that these code samples are automatically generated and are not guaranteed to work. If you find any syntax errors, feel free to submit a bug report. For a full regex reference for PHP, please visit: http://php.net/manual/en/ref.pcre.php