Surgical services are the most spectacularly visible function of the hospital. In a general hospital, all branches of the surgical services diagnostic and therapeutic, operation theatres are combined as one department.The policy and procedures should be available in writing. A “credentials committee” the equivalent of medical audit committee of medical services, must have clear criteria regarding surgical procedures to guide it. All case records, including laboratory reports and consent to surgery must be complete prior to operation. The tissue removed at operations must be sent for pathology and the report available in patient’s record. A “tissue committee” should review all such reports. Policies should be laid down and procedures established with regard to hospital infection control, sterile supplies and safety standards.

Obstetrical services are also organised like other department with policies and procedures peculiar to its requirement. Qualified staff should be available even off-time with availability of consultants for complicated cases. Deliveries conducted and births and deaths must be properly documented and records maintained. There should be a system to investigate all maternal and infant deaths.

Maternal death rate (ratio of maternal deaths to obstetrical discharges) in good hospitals does not exceed 0.25 per cent. Some infant deaths are inevitable, but newborn infant deaths should not exceed 3 per cent of all births.

Except in large hospitals, this service will generally be a part of medical service. However, in whatever way it is organised, the basic requirement is that it is geared for special attention to the peculiar needs of children and infants. The physical facilities, policies and procedures should have been geared to these needs.

Facilities, including the number of radiographic machines must be adequate to meet the requirement of the diagnostic and therapeutic procedures, with competent medical and technical paramedical staff. Policies and standing orders pertaining to radiation safety factors including accidental exposure hazards to personnel must be firmly adhered to. A fool-proof system of records of all radiological investigations should be in operation.

Gynecology and obstetrics are twin subjects that deal with the female reproductive system. While obstetrics deals with pregnancy and its associated procedures and complications, gynaecology involves treating women who are not pregnant. Gynecology comprises of both medicine as well as surgical fields