St James hospital was started in 1989 at Chalakudy in the rural premises of thrissur. It is a catholic mission hospital regulated by the Diocee of Irinjalakuda. Departemnt of Orthopaedics was started in 1991 by Dr Prasad Varkey. Dr Prasad Varkey with his unparalleled clinical acumen and surgical skills continued to build the department. From a single surgeon department, it has now grown to 9 full time consultants and 6 DNB graduates. It is regarded as one of the premier institutions in India for Orthopaedics and its subspecialities . In the last 25 years,the department has provided quality medical care, bringing the injured and disabled people back into their routine life. It has experienced phenomenal success and safety in surgical care in orthopaedics . People’s growing faith in the hospital is evident by its immense growth into a busy clinical unit with 60,467 out patients , 7613 inpatients and 6811 surgeries in the year 2015.