Kasai Procedure in India

Cost of kasai procedure in India

Published package prices range from $2,160 to $5,400 across 1 source (latest 2026). The final figure depends on the hospital, room category, implants and length of stay; every quote we send is in writing from the hospital.

In biliary atresia, bile ducts outside the liver become inflamed and scarred in the first weeks of life, so bile cannot reach the intestine. Babies develop prolonged jaundice, pale stools and dark urine. Without treatment, bile damages the liver and leads to cirrhosis.

The Kasai procedure removes the scarred ducts and attaches a loop of small intestine directly to the liver where bile channels emerge. If bile flow is restored, many children keep their own liver for years. Others still need a liver transplant later. Speed of diagnosis and surgery matters greatly.

Approaches: standard, keyhole (laparoscopic)

The open Kasai procedure through a cut under the ribs is the established standard, with the largest body of outcome data. A laparoscopic Kasai uses small ports and a camera; it may mean smaller scars, but evidence on long-term bile drainage is mixed and it is offered at few centres. Surgeons usually recommend the open approach unless they have specific laparoscopic expertise.

• Laparoscopic Kasai Procedure

Who needs kasai procedure

• Babies with biliary atresia confirmed by tests
• Jaundice lasting beyond the first couple of weeks of life with pale stools
• Infants diagnosed early enough for liver drainage to work
• Babies with jaundice, pale stools and an absent or abnormal gallbladder on ultrasound

How it is done

1. Blood tests, ultrasound, a liver scan or biopsy and sometimes a cholangiogram confirm the diagnosis.
2. Under general anaesthesia, the abdomen is opened through a cut under the ribs.
3. The scarred bile duct remnant is removed.
4. A loop of small intestine (Roux-en-Y loop) is prepared.
5. The loop is joined to the surface of the liver at the bile channel area.
6. The baby recovers in intensive care or a high-dependency unit.

Before you travel to India

• Blood test results including bilirubin and liver enzymes
• Ultrasound, scan and biopsy reports
• Stool colour photographs
• Urgent travel planning; delays reduce success
• Guardian documents for consent

Recovery and flying home

• Hospital stay is usually one to two weeks
• Antibiotics and medicines to help bile flow are given
• Jaundice clearance is monitored over weeks to months
• Flying home is planned when feeding and liver tests are stable
• Lifelong follow-up with a paediatric liver specialist
• Liver transplant may be needed later

Risks

• Cholangitis (infection of bile channels)
• Failure of bile drainage
• Progressive liver scarring
• Bleeding or wound problems
• Need for liver transplant

Alternatives

• Primary liver transplant for babies diagnosed late or with advanced liver damage
• Supportive care, which does not halt disease progression

Conditions treated

• Biliary Atresia

Hospitals in India for kasai procedure

• Medanta - The MedicityDelhi NCR
• Aster MedcityKochi
• Artemis HospitalDelhi NCR
• Kokilaben Dhirubhai Ambani Hospital & Medical Research InstituteMumbai
• Indraprastha Apollo HospitalsDelhi NCR
• BLK-Max Super Speciality HospitalDelhi NCR
• Apollo Multispecialty Hospitals, KolkataKolkata
• Narayana Institute of Cardiac Sciences (Narayana Health City)Bengaluru
• Apollo Hospitals, Navi MumbaiMumbai

How these hospitals compare

Specialists

• Dr Kulbhushan Singh DagarMax Super Speciality Hospital, Saket
• Dr Anurag KrishnaMax Smart Super Speciality Hospital, Saket
• Dr Krishna Subramony IyerFortis Escorts Heart Institute, Okhla
• Dr Vikas DuaFortis Memorial Research Institute, Gurugram
• Dr Suresh RaoKokilaben Dhirubhai Ambani Hospital
• Dr R Krishna KumarAmrita Hospital (Amrita Institute of Medical Sciences)

Frequently asked questions

Sources

• The Kasai Procedure - PACE Hospitals

Medically reviewed by The Curaventa Team. Last updated 2026-10-24. General information, not medical advice. Medical editorial board · Editorial policy · How we get prices