He had higher training for two years in the
Cleveland Clinic in the US, and practiced for eight years in
Hamilton,
Ontario,
Canada. A visit to his native land changed his mind and he returned to
Ahmedabad in 1977 to continue his practice in India. He joined B. J. Medical College as a professor of nephrology. He founded the Institute of Kidney Diseases and Research Centre (IKDRC, also known as Kidney Hospital) located in the
Ahmedabad Civil Hospital campus on 7 October 1981. His friends and industrialists Rasiklal Doshi and Mafatlal Mehta helped with donation of . The institute was moved to the new building in 1992. The Institute of Transplantation Sciences (ITS) was established in 1997 in the same campus. It is the largest kidney hospital in the world with 438 beds. He and his team completed more than 5200 kidney transplantations in the institute. It is also the only public-sector
liver transplantation institute in India. He founded the Indian Society of Organ Transplantation. He was also the founding chief editor of the
Indian Journal of Transplantation and
Indian Journal of Nephrology. He held several patents on
stem-cell therapy for transplantation tolerance and
insulin producing stem cells. == Recognition ==