The case describes the vision of Dr. Venkataswamy, the founder of Aravind Eye Hospital at Madurai, Tamilnadu, and the history of its development of places the present activities of what has grown into an eye care system in the context of the eye problems in India especially blindness. The ability of the hospitals to perform free surgeries to the extend of 60% yet keep the prices highly affordable is highlighted, and the profane reasons embedded in the case. The structure and systems are described in detail. The case ends with the future directions and the actions needed to take the hospital further and fulfill Dr. V's vision of "total elimination of needless blindness in India".