Surgical Instruments, in some forms or the other, are nearly as old as the man himself. A visit to a modern factory, like GOMMOS Int’l, producing over 1500 different Surgical, Dental, Manicure & Veterinary Instruments, is an interesting experience. It is surprising how few members of surgical trade and profession actually have any idea about how time-consuming and painstaking it is to produce these instruments. It is nothing like pouring molten metal into molds or putting a piece of metal in machine at one end to get a finished instrument at the other. With all the modern machines and techniques now available surgical, Dental instruments making still remain dominantly a handicraft of very special kind. In fact, the number of instruments produced in Sialkot is far greater than those actually made in Tuttlingen. There are hundreds of small and large exporters in Sialkot offering every level of quality, from disposable to floor grade as may be the required by the buyers. USA, UK, Italy & Germany are the largest importer of Pakistan made Surgical, Dental Instruments. The bulk, about 75% of production, from GOMMOS Int’l is exported to the Europe and South Africa alone.