According to Sushrutha, Shalya Tantra is best suited, when the problem is beyond just medical repair. In cases like, Arshas (Piles), Bhagandara (Fistula), Nadeevrana (Sinus), Arbuda (tumor and cysts), Gandamala (enlarged lymph node), Gudabramsha (prolapse rectum), Ashmari (stone), Mutravyadhi (urinary system disorders) and stanaroga (breast diseases), Shalya tantra should be used. The treatment would not only give faster relief to the ailing person, but also be beneficial in situations, where kayachikitsa will fall short.

Department has Minor OT, Major OT, Ksharasutra OT, with fully equipped surgical instruments. Special treatment like Rakthamoshana, Agnikarma is done by well trained and specialized Doctors.