Ranga Reddy District- Follow up case. Patient Sri K. Shivanandam (M65), Saroornagar Samithi, Ranga Reddy District is suffering from hip joint pain Grade-III Avascular Necrosis of right femoral heal. He approached State Medical activity in charge for advise. After examining the reports the case is discussed with Dr. I.S.Surendra MS Ortho Siddipeta. On the advise of the doctor patient sent to ESS on 8th January, 2023. Dr. Surendra MS (Ortho), examined the patient at ESS, Hyderabad and advised for early surgery. Patient sent to Siddipeta and admitted in Siddhardha Hospital on 13.1.23 and surgery done successfully on the same date . Patient is discharged in stable condition on 14.1.23. Next review after ten days. Patient and his family members expressed their gratitude to Swamy for the successful surgery. Services are placed at the Lotus feet of our Beloved Swamy. Sairam.