Concept of virtual grand rounds started as early as 2002. Several programs were held in Neurosurgery, with Fujita Health Universioty Nagoya Japan, University of ZDewntistry and Medicine New Jersey, with dept of NS Riyadh, Saudi Arabia, with depts.In Honk Kong etc Patients with complex problems were presented and consultants from other countries would give their opinion. Several years later 2012 -2015 inter Apollo Grand rounds were held in five to six specialities eg neurosurgery, neurology,orthopaedics, paediatrics. DNB candidates appearing for the exam would present “ cases” and consultants from various Apollo Hospitals would participate.This was done through multi point video conferencing. With phenomenal advances in smart phone video conferencing and “ Whats App” doctors found it easier to interact on a mobile medium rather than come to the Tele-Medicine department for “ grand rounds” However webcasting and webinars are still being done for specificoccasions including complex or new surgeries or interventions.