Supreme Court Quashes Criminal Proceedings Against Surgeon in Medical Negligence Case Due to Lack of Prima Facie Evidence and Expert Opinion Favoring Surgery. Proceedings Under Sections 312, 325, 426, 120-B, 406, 465, 468, 471, 501 IPC Quashed as Medical Board Opined Surgery Was Appropriate and Consent Was Obtained, Constituting No Offence.

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Case Note & Summary

The appeal arose from a petition under Section 482 of the Code of Criminal Procedure, 1973, seeking quashing of criminal proceedings in C.C. No. 13 of 2008 before the Judicial Magistrate No.1, Poonamallee. The de facto complainant alleged that his son, aged one and a half years, was admitted for orchidopexy surgery, but orchidectomy was performed without specific consent, and the consent form was interpolated to include orchidectomy, constituting forgery. Based on these allegations, an FIR was registered under Sections 312, 325, 426, 120-B, 406, 465, 468, 471, and 501 of the Indian Penal Code, 1860, and a charge-sheet was filed against the appellant-surgeon. The High Court, in an earlier order dated 19.03.2013, rejected the quashing petition and directed constitution of a Medical Board to provide an expert opinion. The Medical Board, constituted pursuant to this direction, submitted a report dated 29.07.2010, opining that left orchidectomy was an appropriate surgical procedure per medical ethics and should have been done with parental consent, noting that consent was obtained in a printed form. Subsequently, the Director of Medical and Rural Health Services clarified in a letter dated 24.02.2014 that the surgeon had obtained consent explaining the consequences, and prosecution could not be made as the procedure was done per medical ethics. The appellant filed a fresh petition under Section 482 CrPC before the High Court, which was rejected by the impugned order dated 25.09.2023, directing expedited proceedings. The core legal issue was whether the criminal proceedings should be quashed under Section 482 CrPC given the Medical Board's report and lack of prima facie evidence. The appellant argued that the proceedings were an abuse of process as the expert opinion favored the surgery and no forgery was established. The respondent-state contended that the allegations required trial. The Supreme Court analyzed the Medical Board report and the Director's clarification, finding that the surgery was medically appropriate and consent was obtained, with no evidence of forgery or criminal intent. The court held that the allegations did not prima facie constitute the offences charged, and continuing the proceedings would be an abuse of process. Accordingly, the Supreme Court allowed the appeal, quashed the criminal proceedings under Section 482 CrPC, and set aside the High Court's order.

Headnote

A) Criminal Procedure - Quashing of Proceedings - Section 482 CrPC - Code of Criminal Procedure, 1973, Section 482 - Appellant-surgeon sought quashing of criminal proceedings alleging forgery and lack of consent for orchidectomy - High Court rejected quashing petition and directed expedited proceedings - Supreme Court examined Medical Board report and found no prima facie evidence of offences - Held that continuation of proceedings would be abuse of process, quashed proceedings under Section 482 CrPC (Paras 1-21).

B) Medical Law - Consent and Negligence - Indian Penal Code, 1860, Sections 312, 325, 426, 120-B, 406, 465, 468, 471, 501 - Complaint alleged lack of specific consent for orchidectomy and forgery by interpolation in consent form - Medical Board opined surgery was appropriate per medical ethics and consent was obtained in printed form - Court found no evidence of forgery or criminal intent, allegations did not constitute offences under IPC - Held that criminal proceedings not warranted based on expert opinion (Paras 3-21).

Issue of Consideration: Whether the criminal proceedings against the appellant-surgeon should be quashed under Section 482 of the Code of Criminal Procedure, 1973, in light of the Medical Board's report and lack of prima facie evidence of offences under the Indian Penal Code, 1860.

Final Decision

Supreme Court allowed the appeal, quashed the criminal proceedings under Section 482 CrPC, and set aside the High Court's order dated 25.09.2023.

2026 LawText (SC) (04) 12

Criminal Appeal arising out of SLP (Crl.) No. 14803/2023

2026-04-06

Pamidighantam Sri Narasimha J. , Manoj Misra J.

2026 INSC 319

Dr. S. Balagopal

State of Tamil Nadu & Anr.

Nature of Litigation: Criminal appeal seeking quashing of proceedings under Section 482 CrPC

Remedy Sought

Appellant-surgeon seeking quashing of criminal proceedings in C.C. No. 13 of 2008

Filing Reason

Allegations of lack of consent for orchidectomy and forgery in consent form

Previous Decisions

High Court rejected quashing petition and directed constitution of Medical Board; Medical Board opined surgery was appropriate and consent was obtained

Issues

Whether the criminal proceedings against the appellant-surgeon should be quashed under Section 482 CrPC in light of the Medical Board's report and lack of prima facie evidence of offences under IPC.

Submissions/Arguments

Appellant argued proceedings were abuse of process as expert opinion favored surgery and no forgery established Respondent contended allegations required trial

Ratio Decidendi

Criminal proceedings should be quashed under Section 482 CrPC when there is no prima facie evidence of offences and expert opinion indicates the medical procedure was appropriate and consent was obtained, making continuation an abuse of process.

Judgment Excerpts

"The left Orchidectomy surgery done to the child... is an appropriate surgical procedure as per medical ethics and it should have been done with the consent of parents." "Prosecution could not be made against the doctor since he has done the procedure as per medical ethics and as he has explained the consequences..."

Procedural History

FIR registered in 2006; charge-sheet filed; High Court order dated 19.03.2013 directed Medical Board; Medical Board report dated 29.07.2010; Director's clarification dated 24.02.2014; High Court impugned order dated 25.09.2023 rejected quashing; Supreme Court appeal allowed.

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Supreme Court Supreme Court Quashes Criminal Proceedings Against Surgeon in Medical Negligence Case Due to Lack of Prima Facie Evidence and Expert Opinion Favoring Surgery. Proceedings Under Sections 312, 325, 426, 120-B, 406, 465, 468, 471, 501 IPC Quashed as Med...
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