Before 43 years any patient in Surat who needed blood had to go to a commercial blood bank. Commercial blood banks took full advantage of this situation and exploited the situation by selling substandard blood collected from poor and diseased professional donor. It was supplied to the needy patient at a variable price depending upon the urgency and availability. The efforts to encourage voluntary blood donations were very few and sporadic. There was no voluntary service organization that could take over this important and critical aspect of healthcare service on a permanent basis in Surat district.