ARSI pioneered the use of mosquito net instead of the expensive Proline mesh for hernia repair. This was included as one of the six famous, effective, low-cost innovations by the World Health Organization [WHO]. The WHO also listed the equipment for Gas Insufflation Less Laparoscopic Surgery as one of the innovations appropriate for resource-poor settings. The IFRS was involved in promoting the device by working with the University of Leeds team for Surgical Technology, PGSSC of Harvard University, Maulana Azad Medical College and others in conducting randomized control trials and developing second generation equipment.