Introduction: Ministry of Health Government of India launched a scheme of up-gradation of Rural Non-teaching District Hospitals to teaching Medical Colleges in May 2016 to increase the infrastructure and manpower for the improvement of health care. Government Medical College Anantnag was one among the 72 new Medical Colleges started in the country from district hospitals. Aims and Objectives: The aim of this study was to assess the impact on the quality and quantity of major elective surgeries by the up-gradation of the district hospital to a teaching Medical College. Methods: The record of all major elective surgeries from April 2018 to March 2019 (District Hospital Period) and April 2019 to March 2020 (Medical College Period) was retrieved respectively and analysed to see any significant improvement in the quality and quantity of the surgical procedures. Conclusions: The results showed a significant increase in the number of surgeries as well as the performance of high quality advanced surgeries not done before the establishment of Medical College.