Starting with one operating room in 1967, the new OR complex was built in 1987 which now consists of three large Operating Theatres and one minor Operating Theatre upstairs (Upstairs OR) and two Operating Theatres downstairs (Downstairs OR).

Upstairs OR complex have been updated with new tables, lights, Anaesthesia machines, Heart lung machines, Cautery machines etc. HD Stryker Laparoscopic system and Gyrus vessel sealing machine are also added.

The new OR complex called Wound Care Centre (W.C.C.) was inaugurated by Dr. N.D.Jeyasekharan in December 2005. It has a major OR, a minor OR and a dressing area. This OR complex is separate from the other OR areas.

The Surgical ICU has 20 beds with monitors, portable X ray, Scan and ventilators. The most common emergencies are RTA (Road traffic accident) and GI bleeding. Once patients are stabilized they are shifted towards surgery.

Dr. Bala and Dr. John are some of the very capable who do most of the routine surgeries, both open and laps. Dr. John. A.C. Thanakumar, M.S, F.R.C.S., now chief surgeon of Anurag Hospital, Coimbatore started advanced Laparoscopic surgeries.

The surgical outpatient department sees a wide variety of simple and complicated cases and diagnostic ultrasonography is encouraged as a part of basic clinical work up of surgical patients.

Diabetic foot and other infections make up a large number of patients. A team consisting of surgeons, vascular surgeons and physicians are able to treat large numbers every year.

In 1991 the department was given accreditation to the National Board for training in Surgery. and recognized by Royal College of Edinburgh for Senior House Officer level training.

The Surgical registrars regularly present reports at local A.S.I. meetings and attend C.M.E. meetings at C.M.C. Vellore and Medical College, Madurai.