 I first saw Mr. Nirmal Vashar, 25-year-old gentleman from Bangladesh about three weeks back in my clinic. He seemed to have increasing pain in both his hips for the past six years. Initially the pain was settled but for the last one year the pain increases to such an extent that even carrying out his day-to-day activities was very painful. It was not only pain but also limitation of his movements that became very troublesome. He could hardly get up and do his daily activities even in the house. On examination we found that his hips were very stiff and he hardly had any movements in his hip and it was very painful too. So investigations and relevant tests were done and he indeed had severe arthritis of both the hips and which were both fused. So we decided to go ahead with the total hip replacement surgery which was the only treatment in this case. My two hip joints were completely fine. I was not feeling well and I was not feeling well. I saw a lot of people from Bangladesh. They said that there was no possibility of getting up together. But I was very happy to see them. I was very happy to see them. I was very happy to see them. I saw a lot of people from Bangladesh but I was very happy to say that there was no possibility of getting up together. I was very happy to see them. But I was very happy to see the surgery. The operation was very good. Rughirputi is very different. After that, the surgery was done. The nurse, the staff was very good at everything. Monival Hospital is the best hospital in India. I was very good. After the surgery, I was very good at everything. After the surgery, I was very good at everything. On the day of the surgery, doctor suggested that I get pain. We're going to do this soon. If I feel normal, then I will have pain. I will tell everyone that there is no doctor as easy as Sonil. Sonil has a very low fever, then an expert doctor. He is very good at it. I liked him very much. Enclosing spondylitis is a rare condition due to the HLAB27 gene as a result of which the joints especially the spine and the hips are involved and they get fused. In initial stages they can be treated well. It is found that in the 20s and early 30s the rise in India of these cases are being seen. These cases are very challenging because right from the patient positioning as well as technically it is quite complex. The hips are in a different position and they have to be brought down to the true position. So Nirmal is doing very well 3 weeks post surgery and he is expected to have a very good clinical outcome for the next couple of decades or so.