The case of Dr. S. Balagopal v. State of Tamil Nadu & Anr. (2026 INSC 319) involves a criminal appeal by a pediatric surgeon seeking to quash a long-standing prosecution related to a surgical procedure performed on a 1.5-year-old child.
Factual Background
- The Surgery: In 2005, the appellant performed surgery on a child with an undescended testicle. While the initial plan was for Orchidopexy (moving the testicle into the scrotum), the surgeon instead performed an Orchidectomy (removal of the testicle).
- The Allegation: The child’s father alleged that he had only consented to Orchidopexy and not the removal of the testicle. He further claimed that the word “Orchidectomy” was later added to the signed consent form through interpolation/forgery to protect the doctor.
- Criminal Charges: An FIR was registered in 2006, and a charge-sheet was later filed under sections including Section 336 (rash or negligent act endangering life), Section 201 (disappearance of evidence), and Sections 465/471 (forgery) of the IPC.
Medical Findings
Following a High Court direction, a Medical Board consisting of specialists in pediatric surgery, pathology, and oncology was constituted to provide an expert opinion. Their findings established:
- Medical Necessity: The removed testicle was found to be a “nubbin of tissue” that was “very small, cystic, and dysplastic”.
- Cancer Risk: The experts noted that such an undescended, dysplastic testicle serves no functional purpose (for shape or sperm production) and poses a significant risk of malignancy (cancer).
- Appropriate Procedure: The Board concluded that Orchidectomy was the appropriate and preferred surgical procedure in this situation to avoid future health complications.
Supreme Court’s Reasoning
The Supreme Court set aside the High Court’s refusal to quash the case, basing its decision on the following points:
- Absence of Negligence: The dispute was not about medical negligence; the Medical Board confirmed that the doctor’s decision to remove the non-functional, high-risk tissue was medically sound and appropriate.
- Lack of Malice: No malice was attributed to the doctor, and the procedure was performed in good faith for the benefit of the patient.
- Consent and Forgery: The Court noted that a consent form had been obtained from the father prior to the surgery. A perusal of the record showed no material evidence (such as different ink or handwriting) to suggest the form had been tampered with. The Court held that “Orchidectomy” was likely listed alongside “Orchidopexy” as a recognized alternative to meet the medical exigency discovered during the surgery.
- Abuse of Process: Given that the procedure was medically correct and no criminal intent was evident, the Court ruled that continuing the 18-year-old criminal proceedings would be an abuse of the process of the court.
Conclusion
The Supreme Court allowed the appeal and quashed the criminal proceedings against Dr. Balagopal to secure the ends of justice.
2026 INSC 319
Dr. S. Balagopal V. State of Tamil Nadu & Anr. (D.O.J.06.04.2026)



