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An estimated figure shows that about 3000 people develop kidney failure every year in Nepal where as an incidence of liver failure is 1,000 every year. Similarly the estimated diabetic population who might be benefited from pancreas transplantation in Nepal is 30% of the 10 Lac diabetics. There is no data of heart or lung failure in the country yet.

With continuous hardwork, HOTC has led the country in the field of organ donation and transplantation which could convince the government to achieve so many feats within one yearperiod of fiscal year 2016-17 which is normally not possible even in best centers of the world within one year period.

1. Organ transplant act 2072 and regulation 2073 was passed.
2. First liver transplant in the country was performed on Dec 2016  after 3 days of approval of transplant regulations.
3. First brain death donor kidney transplant was performed on May 2017.
4. Dialysis and kidney transplant was made totally free on 2016 and 2017 respectively.
5. The center performed 132 kidney transplants within 1 year period of 2016-17.
6. First open hear surgery performed in Bhaktapur on 2016 in the preparation for heart and lung transplants in future.

Before these achievements, dialysis and transplant service was very expensive and beyond reach of most of Nepali citizens which used to lead to more than 90 percent deaths within few months after kidney failures. The center has now been providing kidney and liver transplant service to Indian and Pakistani citizens also.

The cost of liver transplant in neighboring India used to be as high as 150000 US dollars where it costs about 22000 dollars in Nepal for Nepali citizens.

The estimated cost of haemodialysis is NRs. 10000 ($ 100) / month in HOTC and NRs. 24000($240) / month in NGOs and private sectors. The cost of renal transplant is upto $ 25000 in India depending whereas it costs around NRs. 300000 ($3000) at HOTC. 

The ministry of Health and Population (MOHP) under the leadership of Minister Uma Kanta Chowdhary and Secretary Prof. Dr, Praveen Mishra formed a high level committee with Prof. Dr. Vijay Kumar Sharma,NAMS, Bir hospital as chairman on 20th Poush, 2067 (4th January, 2011) to submit a study report to establish the center. Actual service come into operation in Falgun 2068 when Minister for Health and Population Mr. Rajendra Mahato and Health Secretary Dr. Praveen Mishra took the initiative to start the service without delay.

The center  started Nephrology, Urology and Transplant OPDs from Falgun 7, 2068.In less than one year of establishment, the Center has achieved goals of phase I services as Haemodialysis from 12th November 2012 ( 27th Kartik 2069) with only Rs 250 per session service charge and kidney transplantation from January  19th, 2013(Magh6, 2069) completing major services such as Nephrology,  Urology, Kidney Transplantation,  ICU and Post OP. The center was established as the 3rd center in the country to provide Kidney Transplant service along with oldest our government hospitals; Bir Hospital and Tribhuvan University Teaching Hospital, and successfully established as a dedicated transplant center - first of its kind in the country.

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