Government Rajaji Hospital (GRH) in Madurai serves a vast population with advanced super-specialty departments like cardiology and neurosurgery, offering complex procedures and transplants. A new JICA-funded tower block enhances its capabilities with sophisticated equipment, positioning it as a leader in public healthcare and organ transplantation. Despite its medical significance and high surgical volume, the hospital faces challenges due to a depleted workforce and overwhelming daily patient footfall, impacting its ability to maintain standards.