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This case updates the previous Harvard Business School case study titled, ''The Aravind Eye Hospital, Madurai, India: In Service for Sight'', written by V Kasturi Rangan in 1993. Since 1993, Aravind had grown significantly in terms of service delivery and infrastructure, having added a fourth hospital to its operations. Plans were underway in 2000 to set up a fifth hospital. Aravind had also made progress in two other key areas. First, it set up its own manufacturing facility, Aurolab, to produce intraocular lens (IOL), since cataract surgery using IOL implants was most successful in treating blindness. Second, Aravind created the Lions Aravind Institute of Community Ophthalmology (LAICO), a training facility designed to educate health-related and managerial personnel in the development and implementation of efficient and sustainable eye care programs in India, Asia, and Africa. In July 2000, Aravind''s founder, Dr Venkataswamy, now 81 years old, continued his campaign to spread the Aravind model to every nook and corner of India, Asia, and Africa. The case ends with a conversation between Dr V and the case writers, during which he explains what still needs to be done in order to eradicate blindness around the world. This case was previously numbered 300-146-1.