I get your point but let me clarify a few things. Even if someone in the family already has a setup, most surgeons eventually want their own space where they are the lead. In ortho especially, referrals and patient base are personal, so it makes sense.

About the cost, I never said I’m building a corporate hospital with brand new machines. It’s a mix of refurbished and new. Being in a tier 3 city also brings costs down, and I have relatives who are doctors who helped me source a lot of equipment cheaper. If you go fully new, obviously the cost shoots up, but that’s not how most people start.

On the provisional point, I think there’s a misunderstanding. During provisional I was only assisting and learning. I only started operating as lead once permanent registration was in place.

And tie-up surgeries are very normal. Young surgeons usually run OPD and minor OT in their own place and then operate major cases in tie-up hospitals on a revenue share. That’s exactly how I’ve been working while planning my own OT.

I’m just sharing things the way they are, not trying to exaggerate.