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2026 Supreme(Online)(CONSUMER) 10

J. Rajendra, Presiding Member, Anoop Kumar Mendiratta, Member
Sushil Mukesh Gaglani – Appellant
Versus
Lifecell International – Respondent
REVISION PETITION NO. 1038/2020|1183/2020|182/2021|681/2022|682/2022|683/2022



Advocates:
For the Appellants/Petitioners: Dr.S.K.Khattri, S.K.Sarathi, Sidharth Mahajan, Sumit Roy, Arjun D.Singh, Pankaj Bhagat, Ritwik Prasad
For the Respondents: Dr.S.K.Khattri, S.K.Sarathi, Sidharth Mahajan, Sumit Roy, Arjun D.Singh, Pankaj Bhagat, Ritwik Prasad

Medical negligence is not established merely by the failure of a treatment to produce the desired result. The burden rests entirely on the complainant to prove a breach of standard duty through cogent expert evidence; absence of such evidence precludes a finding of deficiency in service or professional negligence.

Headnote:(A) Consumer Protection Act, 2019 - Medical Negligence - Unfair Trade Practice - Burden of proof in medical negligence cases - Allegation of failure of a medical procedure and absence of specific licenses - Held, burden to prove medical negligence lies heavily on the complainant by leading cogent evidence. A mere averment in a complaint cannot be treated as proven fact. (Paras 24, 34-36)

(B) Medical Negligence - Standard of Care - Bolam test - A medical professional is liable only if they fail to exercise reasonable skill which they profess to have or if they act contrary to standards acceptable to the medical profession. An error in judgment or failure to achieve desired therapeutic results does not constitute negligence. (Paras 23, 25, 36)

Facts of the case:
A patient underwent multiple sessions of a medical procedure for biological stimulation to promote growth. Upon failing to see the desired results, the complainant alleged that the medical practitioners were incompetent, unlicensed, and engaged in unfair trade practices, characterizing the procedure as a form of regulated therapy requiring specific licenses. The initial consumer forums held the practitioners jointly liable, awarding compensation for medical negligence and unfair trade practice.

Findings of Court:
The court observed that the therapeutic procedure performed was distinct from the complex regenerative therapy alleged by the complainant and did not require the specified licenses. There was no expert evidence to suggest that the practitioners failed to follow standard protocols. The court emphasized that the medical profession involves inherent uncertainties and that a lack of success in a medical treatment does not amount to negligence.

Issues: The main issues were whether the procedure performed constituted an unlicensed medical practice, whether the practitioners were negligent, and the burden of proof required to establish medical negligence in the absence of expert testimony.

Ratio Decidendi: The legal standard for medical negligence requires proof of a breach of duty through credible evidence. The court concluded that when medical practitioners follow accepted procedures, failure to achieve a positive outcome does not indicate negligence. Furthermore, speculative allegations regarding medical licensing cannot substitute for professional evidence of wrongdoing.

Result: Revision petitions filed by the service providers are allowed; revision petitions filed by the complainant are dismissed.

Table of Content
1. procedural background of the revision petitions and previous forum orders. (Para 1 , 2 , 3 , 4)
2. factual basis of the complaint regarding prp treatment and alleged misrepresentation. (Para 5 , 6 , 7 , 8 , 9 , 10 , 11)
3. defenses raised by medical practitioners and service providers regarding consent and professional competence. (Para 12 , 13 , 14 , 15 , 16)
4. review of lower commission findings and rationale for partially allowing claims. (Para 17 , 18 , 19)
5. contentions of parties regarding the applicability of the drugs and cosmetics act to prp procedures. (Para 20 , 21 , 22)
6. application of the bolam test and standard of care in medical negligence cases for specialized treatments. (Para 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31)
7. requirement of cogent evidence and burden of proof in allegations of medical negligence. (Para 32 , 33 , 34 , 35 , 36 , 37)

JUSTICE ANOOP KUMAR MENDIRATTA, MEMBER

ORDER

1. Three separate Revision Petitions have been preferred on behalf of the complainant (Sushil Mukesh Gaglani) bearing No.681, 682 and 683 of 2022, before this Commission assailing Order dated 17.03.2020 passed by the learned State Commission, Maharashtra whereby three separate Appeals preferred on behalf of the opposite parties No.1 to 4 {(i.e. Appeal No.A/19/203 preferred by Dr. Madhuri Aggarwal (OP-3 in the complaint; Appeal No. A/19/205 preferred by Life Cell International Pvt. Ltd. and Chetan Purushottam (OP-1 and 2 in the complaint) and Appeal No. A/19/438 preferred by Dr. Satish Kishoranadn Arolkar (OP-4 in the complaint)} were partly allowed.

2. The aforesaid Order dated 17.03.2020 passed by the learned State Commission has also been separately challenged by OPs 1 to 4 by way of three separate Revision Petitions {i.e RP No.182 of 2021 preferred by Lifecell International Pvt. Ltd. and Mr. Chetan Purushottam/OP-1 & 2; Revision Petition No.1183 of 2020 preferred by Dr. Madhuri Agarwal/OP-3 and Revision Petition No.1038 of 2020 preferred by Dr. Satish Kishoranadn Arolkar/OP-4}.

The Revisionists and respondents hereinafter are referred to as ‘complainants and opposite parties’ as appearing in the complaint filed before the learned District Forum, for sake of convenience.

3. Learned District Forum, Mumbai vide Order dated 04.12.2018 held that OP No.1 to 4 indulged into unfair trade practice in connivance with each other and further awarded compensation as under :-

“Order:-

1) Complainant No.292 of 2015 partly allowed.

2) Opposite Party no. 1 and 4 have been made default to give proper and good service to the complainant, similarly, hence, it is declared that they have used improper and unjust professional unfavourable procedure practice and process.

3) Therefore, Opposite Party no.1 to 4 shall be jointly or individually shall paid a sum of Rs.59,525/- (Rupees Fifty nine thousand five hundred twenty five only) which was paid to Opposite Parties by him, till the 31/10/2019 failing which interest amount shall be made applicable to this amount as per rates of 15% p.a. w.e.f. 01/02/2019.

4) Opposite Party No.1 to 4 shall be paid individually or jointly a sum of Rs.10,00,000/- (Rupees Ten lakh only) to the complainant towards mentally torture and physically harassment till the date 31/10/2019. And to pay a sum of Rs.10,000/- (Rupees ten thousand only) towards cost and charges of this complaint till 31/01/2019. Failing which, interest amount at the rate of 10% p.a. shall be made applicable to these all amounts till the realization of final payment.

……………………”

4. Learned Maharashtra State Consumer Disputes Redressal Commission affirmed the findings of the learned District Forum in CC No.292/2015 but reduced the compensation as under :-

“ORDER

a) Consumer complaint no.CC/12/292 is partly allowed on the ground that opponent nos.1 to 4 indulged into unfair medical trade practice as also were responsible in connivance with each other for deficiency in service.

b) Opponent nos.1 to 4 jointly and severally are liabl

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