The department of general medicine deals with common ailments like diabetes, hypertension, cardiac disease, asthma and lung problems, gastroenterology, liver and kidney special care is given for diabetic patients in controlling the sugar levels and preventing long term complications. Majority of the elderly patients who get admitted for orthopedic and various surgeries have systemic problems like diabetes, hypertension etc. Medical optimization of the patient before surgery and after surgery is crucial for wellbeing and good functional outcome. The experienced physicians at our hospital has got good surgical orientation and strive for the total care of the patients