There is a regular O.P. and Post graduate O.P. there are two units taking alternate day O.P. minor surgeries are done daily by the concerned units. There is one major operation theatre day in a week. Emergency surgical procedures are done in the emergency O.T. The department is a bridge between dentistry and allied medical specialities. Combined surgical procedures with the active participation of the surgical specialities is the norm. These include Surgeries for craniosynostosis and various plastic procedures. The department shares the theatre and wards with Medical College Hospital, Trivandrum. There is a 24 hour casualty in the MCH run by the department.