Padmashri Prof. Dr. P. V. A. Mohandas started the Madras Institute of Orthopaedics and Traumatology (M.I.O.T) on 12 February 1999, as a 70-bed hospital, with full-time doctors, focussed primarily on Orthopaedics and Trauma Care. It was soon apparent that some of the trauma patients, often brought there in a critical condition, came with pre-existing conditions involving the heart, kidneys, etc. In order to stabilize and deliver complete end-to-end care to these patients, these pre-existing conditions had to be managed along with providing trauma care. In other cases, patients were brought in with injuries to their organs. Treating such conditions called for the expertise of specialists. Given the nature of trauma care, it was important to have full-time specialists so that the right care could be delivered on time.