The Department of Reproductive Medicine at SAT Hospital, addresses infertility, assisted reproductive technology (ART), puberty, menopause, reproductive system diseases, sexual dysfunction, genetics, endocrinology, early pregnancy, and fertility-enhancing surgeries. This subspecialty emerged due to gaps in postgraduate curricula and limited ART availability in public teaching hospitals, leading the National Medical Commission to recognize MCh in Reproductive Medicine and Surgery. The unit launched in 2010, became operational in 2012, and delivered South India's first public sector IVF-ICSI babies in 2013 at one-third private sector costs. Milestones include the first IVF for an ovarian cancer survivor in 2016, M.Ch program start in 2019 (first in government sector South India outside AIIMS), registration as a Level II ART clinic in 2023, and over 500 IVF babies by 2025, plus oocyte cryopreservation for cancer patients. Facilities and Services include; the third-floor hosts outpatient services with ultrasound, counselling, library, and lecture hall; the second-floor features IVF areas, embryology lab, andrology lab, IUI room, and endoscopy theatre with recovery and 20-bed ward. Equipment includes high-end ultrasounds, CO2 incubators, micromanipulators, laser hatching, vitrification systems, and four cryocans (one for cancer patient semen preservation). Services cover basic infertility workup (OP, ultrasound, semen analysis, IUI, medical management), advanced ART (IVF, ICSI, surgical sperm retrieval, embryo/oocyte freezing, blastocyst transfer), and fertility-enhancing surgeries (hysteroscopy, laparoscopy for myomectomy, adhesiolysis). Provides specialized care for reproductive health, including diagnosis, treatment, and surgical interventions to support fertility, hormonal balance, and overall reproductive well-being