Surgical Industry at a

Glance
Abstract:
Surgical instrument manufacturing industry
originated in the early 1940s in and around the
city of Sialkot. The sector manufactures a wide
range of medical, surgical and veterinary
instruments exporting 80-90 % of its production.
This industry is suffering badly in international
market. In spite of the fact that this industry has
the potential to earn sizeable foreign exchange
but it needs to be fully explored. The purpose of
this report is to take an insight into the industry
structure, identifying the major issues and
problems affecting the industry, uncover the
constraints of the industry and put forward some
suggestions to overcome the existing problems.
Introduction:
Chronologically manufacturing of surgical
instruments started in the regions that were
traditionally involved in forging of metals,
particularly for knives and swords etc. at the end
of the 19th century surgical instruments
manufacturing started in this region, when the
American Mission hospital in Sialkot for the first
time got its scalpels and other instruments
repaired from the local artisan community of
blacksmiths. These craftsmen successfully
replicated these imported instruments, which
were being used by the hospital.
Sialkot surgical industry started exporting
surgical instruments to the foreign market in
1930s. To institutionalize the local expertise of
manufacturing surgical instruments and provide
common facilities to the manufacturers, the
British Government established the Metal
Industries Development Centre (MIDC) in 1941.
This helped the industry to shift from
manufacturing of basic metal products to
precision
surgical
instruments.
After
1

Surgical Instruments Manufacturing Association of

Pakistan (SIMAP)

Independence in 1947, Pakistan inherited 17

registered surgical instruments manufacturers in
Sialkot.
In 1958 the Surgical Instrument Manufacturing
Association of Pakistan was incorporated which
safe guarded the interests of the industry. The
Surgical Association since then is regularly
playing a central role in addressing issues at the
Government level, nominating trade delegations
and participants for trade fairs and exhibitions,
handling inter-industry issues and representing
the industry at various local and international
forums. The value of exports of surgical
instruments for the financial year 2013-2014 is
USD 335 Million1.
Overview of Surgical Equipment Manufacturing
Industry Sialkot Pakistan
Sialkot is the hub of manufacturing dental and
surgical equipment or instruments in addition to
sports goods and cutlery. The Sialkot based
industry is not catering for the supply of surgical
equipment to local market but it is also generating
a handsome foreign exchange through exports.
We need to encourage and promote this industry
and try to expand its scope by incorporating
electro medical equipment into it. For this we
need to bring Gujranwala and Gujarat based
industry which has some experience in the
electrical and electronics manufacturing.
Major facts and figures of the sector:
Over 99% of the Pakistan's surgical instruments
production is centered at Sialkot. The sector
comprises over 2500 companies with the labor
force ranging from (15-450) per unit, of which
around 30 can be considered large and the
remainder can be split as 150 units of medium
sized and remaining as small. The industry
produces on average over 150 million pieces a

year with an estimated value of around Rs.

22 billion. Out of the total production,
approximately over 95% is exported, which
includes 60% of disposable and 40% of reusable
surgical instruments, i.e. 100 million instruments
annually.
The industry belongs to the light engineering
industry category, and is one that has specialized
in skill and stable export market share. Sialkots
surgical goods industry is responsible for 75
percent of Pakistans engineering exports. It
produces over 2000 different instruments, mostly
made from imported stainless steel. With a 20
percent share of the total world surgical goods
exports, surgical instruments made in Sialkot are
used by surgeons, dentists, and veterinarians
throughout the world and are considered second
in quality only to Germany, the global leader in
this field.
SCCI's2 active members are 8500 and list of
members registered as surgical instruments
manufacturers includes 2,400 (commercial and
associated) firms that employ roughly 80,000
workers and exported US$278 million worth of
merchandise in 2009. Surgical goods and medical
instruments worth US$ 23.7 million were
exported during the month of July 2011 as
compared to US$ 20 million in the month of July
2010. According to the data of Federal Bureau of
Statistics (FBS), the
surgical and medical
instruments export was recorded at US$ 24.5
million during the month of June 20113.
Following Countries are the Top Ten buyers of
our instruments:
United States
24%
Germany
15%
United Kingdom
10%
France
4.82%
Italy
4.45%
UAE
3.60%
Japan
2.35%
Brazil
2.24%
Mexico
2.22%
Russian Federation
1.90%
Export trend of Pakistan Surgical Industry:

2
3

Sialkot Chamber of Commerce & Industry

http://www.pbs.gov.pk/trade-detail

Year

2009 2010 2011 2012 2013

Exports
USD
322
Million

354

398

412

485

Industry Structure:
The production of the industry can be broadly
classified into two categories, i.e. disposable
instruments and the reusable instruments (OR
instruments). The largest market for Pakistani
disposable instruments is USA. Majority of the
reusable instruments, manufactured in Sialkot,
are exported to the European countries.
Industry at a Glance:
Total number of units
Installed Capacity
Total Capital
Investment
No. of worker
No. of people
involved
(Direct/indirect)
Export
World market of
surgical instrument
Production
Source of Machinery

Approx. 2400
200 Million
Pieces/annum
Rs. 12.0 billion
100,000-150,000
350,000-450,000

US $ 156 Million
US $ 30 billion
100 million Nos.
Germany, UK, USA,
China

RANGE OF INSTRUMENTS BEING

MANUFACTURED
The surgical industry has a flexible
manufacturing processes resulting in production
of wide range of products. Production can be
made in accordance with British, German,
American or any international standards/
specification. The advanced countries of Europe
and America are the leading buyers of Pakistans
surgical instruments.
A broad range of surgical instruments are being
manufactured:
Diagnostic
Anesthesia
Vaccination
General
4

http://www.trademap.org/Country_SelProductCoun
try_TS.aspx

 Instruments
Suture
Plaster
Bone Surgery
Neurology
Tracheotomy
Cardiovascular
Lung Surgery
Dermatology
Ophthalmology
Otology
Rhino logy
Oral Instruments
Tonsil
Sterilization
Urology
Gynecology
Obstetrics
Intestinal & Stomach Rectum
Manufacturing Standards:
Surgical industry is the sector where quality is
major issue of concern. Recently its importance
has increased manifolds given the increasing
global competition and new regulations being
enforced by the developed countries. These
regulations require the exporters of the
developing countries to introduce systems
focusing on the improvement of management,
labor, technology, and all the other fields which
in any way affect the firm.
The surgical instrument standards must be in
conformance with WTO standards. Over 300
Companies have ISO-9002 Certification and
about 250 have Certification of Good
Manufacturing Practices5.
Sialkot Material Testing Laboratory (SIMTEL)
A UNIDO assisted material testing laboratory has
been set up in Sialkot in the year 2000
comprising of three laboratories:
Spectro Lab
Metallographic Lab
Chemical Testing Lab
Production Process (Value Chain):
In order to develop detailed understanding of the
issues and problems faced by a particular
industry, it is of prime importance that an in depth
analysis of the value chain is carried out. During
the process of production, value is being added at
each stage of the production, from the first stage
of raw material to the final stage of finished
product, a product undergoes a series of processes
until it attains its final shape.
Manufacture and Supply in Sialkot:
Manufacturers of surgical instruments in Sialkot
need to minimize costs to remain competitive. To
5

BOI Pakistan

reduce overheads, most firms subcontract the

initial production of instruments to workers
employed in a small workshop or their own home,
with finishing and quality checking of the product
in house before export, quality is checked against
European Union or US standards. Manufacturing
firms in Pakistan, however, rarely have the
infrastructure or marketing presence to allow
direct trade with the end users in the destination
countries. Most therefore sell to suppliers and
retailers in the developed world with only a small
profit margin. These middle men (mostly in
Tuttlingen) then trade with end users,
predominantly in the US or Western Europe,
usually after a considerable mark up. For
example, a pair of fine surgical scissors will cost
$1.00 to produce, will be exported from Pakistan
to Germany at a price of $1.25 (personal
communication), and will probably be sold to a
hospital for nearer $80.00. In 1999, instruments
costing a total of $27.5 million were exported in
this way from Sialkot.
Labor Conditions in the Surgical Instrument
Manufacture Sector, Sialkot:
The initial manufacture of surgical instruments
involves die making, forging, filing, grinding,
machining, electroplating, and heat treatment.
Most of these processes are subcontracted to
countless small process specific workshops, with
the final finishing (chemical cleaning and
polishing) and quality checking by the final
producers. The use of subcontractors became
common in the mid-1970s after a period of labor
unrest and strikes. Subcontracting minimizes
company overheads and lowers costs, but,
because subcontractors are not employees of the
company and competition is aggressive, it drives
down wages and health and safety standards.
Subcontracted manual laborers are paid per
instrument, and the average worker earns around
$2 a day (personal communication). They have
no job security or guarantee of income and no
medical insurance or provision of education for
their children. Nearly all subcontractors are
forced to seek wages in advance from the firms
that employ them, further disadvantaging these
workers' position in arguing for a fair wage.

a unique position and competitive advantage over

other countries. In the surgical instrument cluster
a manufacturer executing various
Manufacturing Process:

Raw
Material
Sharing

Forging

Annealing

Trimming

Machining

Initial
Assembly
Filing

Heat
Treatment

Electropolishing

Finishing &
Final
Assembling

Testing &
Cleaning

Labelling &
Packahing

Die
Making

SWOT Analysis:
Strengths of Surgical Instrument Industry
Geographical Concentration
The surgical instrument industry of Pakistan is
concentrated in the city of Sialkot and its
periphery. With the passage of time industry grew
in the region surrounding Sialkot, within the area
of some twenty-five kilometers, also became an
essential part of the surgical instrument industry
structure. Concentration of surgical instrument
manufacturers and sub-contractors within a
particular region is the biggest strength of the
industry, which is depicted by the collective
efficiency of the overall industry.
Economies of Scale
As the number of instruments manufactured each
year is more than 100 million units. Such large
volumes in the presence of specialized subcontractors have given Pakistan surgical industry

processes might not be able to collect the benefits

of economies of scale. But wide scale process
sub-contracting definitely generates economies
of scale through processing of instruments in
large volumes.
Availability of Inputs
Availability or raw material is an essential
element for any manufacturing industry. In case
of Pakistan surgical industry, besides having
large number of process sub-contractors also
includes the suppliers, importers and traders of
inputs such as stainless steel, chemicals and other
raw materials. The presence of such input
suppliers guarantee the availability of raw
materials therefore saving a lot of hassle for the
manufacturers, which in absence of such
suppliers have to import raw materials
individually. This not only provides inputs at
lower costs due to competition but also saves
transportation and pre-operating costs.

 Skilled Labor Force

Surgical industry of Pakistan is more labor
intensive due to lack technology and it needs high
level of skills and precision. The total workforce
of surgical instrument industry is 45,000 - 50,000
which represents third or fourth generation of
skilled workers. The art of manufacturing
surgical instrument is transferred from one
generation through another. A concentration of
labor force, having the desired skill level, is
strength of the industry. It is for this reason that
the industry has grown only in and around
Sialkot.
Concentration on Core Competencies
Due to the industry norm of sub-contracting to
process specialized vendors, the vendors carry
out specific processes on large volumes of
instruments therefore, developing their core
competency in one or two processes. This has
enabled the surgical instrument manufacturing to
maintain homogenous quality of instruments to
some extent along with economizing on capital as
well as labor.
Wide Product Range
Despite of limited resources and advance
machines and equipment, the manufacturers are
able to produce a diverse range of surgical and
dental instruments. Without the use of
sophisticated design and product development
techniques the surgical instrument cluster has
developed its capability of producing quality or
instruments comprising of more than 10,000
different instruments.
Weakness of Surgical Instrument Industry
Minimal Involvement of Brand Names
The buyers of Pakistani surgical instrument
industry are international distributor or
wholesalers and that is the reason brand
involvement is very low. Only a few established,
world- renowned brand names are among the
buyers of the industry. Working with brand
names not only means higher revenues but the
brand names also assist the manufacturers in
technological up- gradation, quality and
management systems and skill development.
Branding
One of the major problems with surgical industry
of Pakistan is branding. The industry has a history
of more than six decades and there are still no
brand names. The absence of local brand names

deprives the industry of directly participating in

tender business to cater to the end user in foreign
markets and works adversely by giving the buyer
greater bargaining power. Through development
of local brand names the surgical instrument
industry is likely to get access in the markets of
less developed countries, which can ultimately
prove to be a stepping stone to enter the markets
of developed countries, with locally branded
surgical instruments.
Marketing and Distribution
Although the manufacturing quality of Pakistani
surgical goods is comparable with other countries
but in the absence of marketing and proper
distribution industry is suffering badly in
international market. Similarly the distribution of
Pakistani instruments is carried out through
international distributors and traders. No
Pakistani company either has the resources or the
expertise to set up a distribution network of its
own. The international intermediaries involved in
the distribution of surgical instruments operate on
large spreads.
Management
The management of surgical industry is one of the
weaknesses.
The
surgical
instrument
manufacturing in Pakistan has been in the hands
of two or three big players who are following the
traditional ways of doing business. The authority
is in the hands of owners and this has resulted in
the centralization of authority.
Technical Personnel and New Product
Development
Surgical industry is technology based, but in
Pakistan this industry has flourished without
sophisticated technology. There is a lack of
qualified and trained engineers in factories. The
process supervision and operations management
is done by non-technical personnel. The process
of new product development is done by using
reverse engineering, without following proper
procedures such as preparing technical drawings.
At this stage of development, to grow further the
industry needs technical assistance in process
improvement, operations management and also
for new product development.
Opportunities for the Surgical Instrument
Industry
Diversification

As world is changing with changing trends and

technologies but Pakistani surgical industry is
still stuck with the traditional gadgets. Now it is
a tremendous opportunity for surgical industry to
gear up itself to take the development and
production of instruments through latest
materials such as plastics and other synthetics and
also to explore the area of electro-medical and
diagnostic instruments.
Manufacturing Flexibility
The manufacturing process of surgical industry
can be modified by incurring very small
expenditures. This flexibility provides an
opportunity for industry to manufacture wide
range of products. There are still certain high
value added surgical instruments which, can be
easily manufactured locally.
Unexplored Markets
Initially Pakistani surgical instrument industry
exported major portion of its products to USA &
Europe. However, there are potential markets like
Japan, Eastern Europe untapped. Japan, when
observed in the broader category, is the fourth
largest importer of surgical, medical and dental
instruments in the world.
Pak
Exports
to Japan Imports
PRODUCTS Japan
from World
2011 2012 2013 2011 2012 2013
Surgical
6
6
8
4130 4854 4638
Industries
Information technology
The use latest interactive computer tools such as
discussion groups, news groups, etc. because it is
the only source of marketing that provides in
depth and penetration, which an organization
really need. Almost all the big brand names in the
field of medical and surgical appliances have
their web sites which provide information about
the organization, the product range and prices and
their area of specialization.
Joint Ventures
The surgical instrument cluster of Sialkot has
established its reputation as a center of excellence
in the South Asian region. Considering a long
history of instrument manufacturing and the
growth in exports, the state of technology does
6

Current Good Manufacturing Practices

not seem to be consistent with the industry

growth.
For
under-developed
countries
collaboration with multi-national companies in a
way facilitates the transfer of technology. This is
also true for the surgical instrument cluster where
the joint ventures with foreign companies have
enabled the local partner to considerably upgrade technology. Currently there are only a
couple of joint ventures in the industry. This is
one area, which needs to be exploited to its full
potential.
Threats to the Surgical Instrument Industry
Upcoming Competition
Since beginning Pakistan has the advantage of
cheap labor. But now with in past few years,
China, Mexico and some other countries have
also appearing as our competitor in global market
having cheap labor. These countries, besides
having the advantage of cheap labor, are
technologically superior in innovation and use of
modern materials in manufacturing as compared
to Pakistan.
Quality Systems
Quality is something that is mandatory in surgical
instrument sector. 95% of the production of
surgical industry is being exported. But this
export is affected by the quality standard issues in
the international market. Although the surgical
instrument industry, as a single sector, has the
largest number of ISO and CGMPs6 certified
companies, but still there are some companies
who need to have ISO certification.
Latest Developments
Latest developments in the industry are threat to
the industry as well as an excellent opportunity at
the same time. It all depends on the availability or
resources. The Pakistani surgical instrument
industry, in order to develop on sustainable basis
needs to have a strong research and development
base which facilitates the introduction of new
materials and latest processing techniques.
Major Constraints in Pakistan Surgical
Industry7:
Technology Constraint

Diagnostic Study on Surgical Instruments Cluster

executed under Cluster Development Program of
TDAP, SCCI & UNIDO

In todays dynamic world technology plays vital

role in the development of any field. Keeping in
view the surgical industry of Pakistan, in
beginning the instruments manufactured in
Pakistani surgical industry was handmade; but
with the passage of time, the industry adopted to
change but this change is so gradual that we are
still lagging behind in the field of technology.
These days new technologies are taking place of
the old ones, for example:
CNC Machines (Computer Numeric Control)
MIS (Medical Invasive Surgery) Instruments
These technologies are adopted by Germany but
not here in Sialkot yet. Its reasons are:
Unawareness of industrialists about these
technologies
These are very expensive and our people are
unable to adopt these technologies
There are no trained people to work according
to these technologies.
Marketing Constraint
One of the basic elements for the growth of any
business is marketing. Unfortunately, Pakistani
surgical industry is far behind in this field. There
is no strategy to deal with the local market. Major
portion of the production is sold to the
international wholesalers and distributors, who
sell these products under their own brand name.
When we talk about the exports, there is bad luck
for the cluster that it has a deep history but it has
no own Brand developed yet. We are working
as vendors for the other exporting countries.
However, some entrepreneurs are aware of this
problem and they are trying to develop their own
brand.
Research & Development Constraint:
Research & Development is the need of todays
business for its survival. Non-adoption of
research and development by manufacturers and
exporters is also a major problem of surgical
industry of Pakistan. No attention is given on
development and betterment of medical
instruments. There is an urgent need that
businesses establish research and development
cells in their premises and allocate a certain
percentage of their profits precisely on research
and development.
Human Resources Constraint:
Organizations are made up of people, who are the
building block of that organization. But the
human resources of our surgical industry are not

properly managed because people are not well

aware of the resource management.
The entrepreneurs themselves execute every
function of HR. They consider placement of a
professional or business graduate as a waste of
money; moreover, the professionals are
misconceived as another exploitation tool that
might steal their business secrets.
There is an emergent need of a surgical training
institute/centre, where current labor force could
be trained for enhancement of their
manufacturing skills and new entrants could also
be trained in this institute.
Financial Constraint:
Finance is another issue of the cluster, especially
for small enterprises. There is a big number of
financial institutes and leasing companies present
in Sialkot which are providing financial services.
Majority of the manufacturers consist of vendors,
who have small setup. Most of them have no
reach to the banks. They are unaware of how to
avail the loan facility. However, large firms have
good relation with the financial institutes and
leasing companies.
Recommendations:
Out of the total production surgical instruments
in Sialkot, approximately over 95% is exported,
approximately 100 million instruments annually.
It shows the importance of our surgical goods, it
has the grand contribution in our export and
foreign exchange earnings. But still it has been a
big scope for more contribution and development
in this field;
The burning issue of this industry is
skilled labor availability and this
problem can be resolved by the mutual
efforts of government and businessmen by
providing technical courses, on job training
courses and machinery handling courses
etc. related to this field because there is a
threat of losing the skilled labor due to no
proper transfer of skills to the next
generation. Fix a particular wage rate for
labor and labor contracts must be focused
by the businessmen and govt.

Sialkot is the hub of surgical industry so

govt. must establish the new training and

vocational centers under TEVTA and other

boards in Sialkot and its nearby areas e.g.
Narowal, Pasroor etc. to attracting the labor
and new comers in the field and provide
them the up to date knowledge to enhance
their skills. And recognize the importance
of the degrees of TEVTA and other such
institutions to realize the labor their worth.
With such efforts, deficiency of skilled
labor can be controlled in coming years.
In surgical field, the production procedure
comprises of series of processes, and it
involves the use of latest and expensive
technology therefore the need is to
establish Common Facility Center in
Sialkot to facilitate the export of surgical
items. Govt. should realize this need and
start a project of Common Facility
Center with the help of businessmen. It
will reduce the cost of production, enhance
profit margins and prove fruitful for
boosting export.
In surgical field, there is a crucial need for
developing R & D Department to work
for the betterment of the production process
as well as for the product development. On
the other hand, R&D departments must
establish to explore new markets for
boosting the export of our surgical
instruments because our major customers
are USA & Europe but still there is a large
scope for us e.g. Iran and Japan is the
potential market but our share of export in
these markets are only 0.1%.
With the vital need of Human Resource
in surgical industry, there is also a crucial
need of Financial Resources. In Sialkot,
most businesses are related to cottage
industry so, finance is the basic need but
SMEs faces a lot of problems and issues at
the time of getting finance (loans) from
financial institutions. And there must be
taken strong steps by the government for
the establishment of Exim banks for
promoting international business.
For promoting our global business of
surgical items, we must have complete
awareness about quality standards e.g. ISO
and CGMPs etc. and must try to implement
them fully to build up the trust on our

foreign customers to sustain in such a

competitive world.
In surgical industry, businessmen must
focus on new methodologies of production
and must try to adopt the latest technology
(e.g. CNC machines and MIS etc.) in
different sections of manufacturing
process. They can do this by maintaining
the reserves for this purpose from their
profits.
Despite the fact that we produce an
immense quantity of surgical items but still
we are far behind in case of Marketing of
our products to increase the trade round the
globe. There is lack of presentation in our
products in every aspect. Especially, in
trade fairs and exhibitions, TDAP must
facilitate our Pakistani traders to present
their products in attractive way to retain the
customers.
There is no material testing lab in Sialkot to
facilitate manufacturer of surgical items,
PCSIR must establish its office in Sialkot
under the governance of government.
Exporters of Sialkot are the foreign
exchange earner for the country, so the
concerned authorities must take steps to
communicate with government to reduce
the anxiety of the traders related to tax
issues.

In Sialkot surgical industry, SMEs have

lack of proper management hierarchy. In
such firms, there must be some proper
advisory and supervisory authorities to
handle
the
different
production
departments. In this way, there is more
chance of efficiency in all departments.
Infrastructure Development:
Transportation is the backbone of export
and industrial sector as a heavy portion of
the product cost of an exporters include the
transportation expenses and cargo charges.
This issue must be resolved through;
1)

Roads linked with rural areas and main

cities must be properly constructed for
better approach and smoothing the

internal trade directly and export

indirectly.
2) Check & balance of dry port and airport
fair system for controlling the cost and
improving the quality of products.
3) Government must invest heavily in the
improvement of physical and financial
structure including shipment, clearance,
cargo system, handling at the ports and
airports for smooth flow of export.
4) Establishment of material testing
laboratories to facilitate product
development. This would help in cost
optimization of the product with
enhanced quality. It will enable the
surgical industry to move into a higher
technological ambit.
5) To acquire affordable and quality
technical assistance at home, an
excellent engineering university should
be established in Sialkot to give boost to
the trade.
Today, China and other competitive
countries are entertaining with long term
trade deals at reasonably low rates to
sustain their customer for long-run. But
Pakistani exporters fails to adopt such
strategies because of constant fluctuation in
prices of oil, gas, electricity, materials cost
etc. Therefore our exporters could not
reach out to their real potential. In this
regard Govt. and other trade related bodies
must perform their role by framing some
long term projects on the extraction and
usage of natural resources as well as
electricity plants.
So we can bring a revolution in our
industry, because many issues are linked
with this problem deficiency of power
resources.
Surgical instruments can be generally
divided into six classes by function. These
classes are:

1) Cutting instruments
2) Grasping or holding instruments
3) Haemostatic forceps (instruments used
to stop blood flow)
4) Retractors
5) Clamps and distractors
6) Accessories and implants

So, there is a need of product

diversification in the international market
time to time in order to capture the new
foreign markets.
We cannot ignore that our 80% surgical
export is depending on single-use products.
But we should focus on the pricing of them
collectively to make the strength of our
products in international market. There is
need to reconsider our pricing strategies of
re-useable products and single-use
products.
The leading manufacturers and exporters of
surgical items should be encouraged to
develop their own brands and labels for
their products. The highest level of value
addition occurs when products are sold
under a brand name. Sialkot is the major
export oriented city in Pakistan. Sialkot
based export goods are highly appreciated
in International markets. Its high time for
Pakistan to use the opportunities available
at international level. Govt. should
encourage and support the leading
manufacturers and exporters of surgical
instruments to develop their own brands
and labels for their products. Such steps
will ultimately flourish our trade.
Internal manufacturing processes should be
rationalized by implementing Lean
manufacturing technique, thereby
reducing the Non-Value Added Processes
which confine to the limited scope of
production. The strategy so proposed
would help a long way reducing the lead
time and increase the dedicated

capacity/order fulfillment rate of the

organization.
Conclusion:
There is a cake of 34 billion US Dollar
in the worlds market of surgical products; we
should start the sincere collective efforts to eat
this cake with the jam-packed support of
Government
Pakistan has great potential to exploit the
international market of surgical instruments as it
has great workforce, talent, skills, resources,
strengths and opportunities to make the way to
success. Moreover, there is large scope of
triumph in this market. But, need of the time is to
enhance the motivation level by the government
to support this industry as well as by all the big
players of surgical industry.