Dr. L. Prakash began his orthopaedic practice as the director of “The Institute for Special Orthopaedics” in 1989. Within a short time he became a leading joint replacement surgeon of India.

Gained reputation as an extremely efficient hip and knee replacement surgeon and compassionate doctor.

Patients from Singapore, Malaysia, Thailand, Bangladesh, Srilanka, Indonesia, and occasionally even from U.S.A, and U.K., flocked to his institute.

In addition Dr. L. Prakash's books on Total Hip Replacement, Total Knee Replacement and Ring Fixator System became extremly popular and proved to be an excellent guide to young surgeons who embarked on a path to perform these complex procedures.

Dr. L. Prakash conducted over thirty Joint Replacment workshops for orthopaedic surgeons. During these occasions, Dr Prakash would first perform a few joint replacements, which were live broadcast to the Auditorium, and then conduct workshops; where the participants learned to do the bone cuts and shapings with plastic bones.

Dr L. Prakash invented the first Asian Knee implant THE MADRAS KNEE in 1996. He also invented the Prakash Hip System, Prakash bangle fixator system, Pneumatic systems, and many simple unusual instruments which made difficult things easy for the surgeons.

He was the Vice President of Indian Orthopaedic Association, the youngest in the history of the association. Next, he became the Secretary of Indian Orthopaedic Association, (also the youngest) and ran it for three years. He then contested for the post of the President and lost by a very slender margin.

Dr L.Prakash was also known as a travelling surgeon, because he would carry loads of instruments and implants; fly around the country and abroad, and perform surgeries in various hospitals , thereby bringing a new technology to that city or country. He has performed surgical operations in most of the states of India and in Srilanka, Bangladesh, Malaysia, Singapore, Thailand, Indonesia, South Korea and Pakistan.