Chronic calcific pancreatitis (CCP) is an endemic disease in Kanyakumari district.. It is a heavy socioeconomic burden as the disease affects predominantly young males who are breadwinners of their family. These patients present with severe abdominal pain. They get very good pain relief and quality of life by surgeries like Frey’s head coring procedure and Pusteow’s drainage procedure.

Biliary diseases like Recurrent pyogenic cholangitis (RPC) are quite common here due to prevalence of biliary ascariasis. Effective drainage of the biliary system can be achieved by hepatico jejunostomy. When one lobe of the liver becomes severely atrophic with abscess formation, the patient may benefit from hepatectomy.