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Surgical practise in India is cut across urban and rural areas with majority of the patient hailing from economically backward rural areas having limited surgical care facilities. This is coupled with escalating cost of surgical services in private setup and limited availability of serivces in government hospital resulting in patients being deprived of proper surgical management. Improvisation of cheap and easily available alternative sources not only makes the cost of surgery cheaper and affordable for the patients who belongs to poor economic class. Objective: Surgical innovations have a classic culture and deep tradition. It is a mental fabrication of preformed idea coupled to hands on application. It's the surgeon's responsibility to discover, translate and propagate such ideas to de-escalate surgical cost for the poor socio-economic patients in India. This article addresses one such issue. This article focuses on improvisation of injectable syringes as surgical tools. Study design: This study carried out at rural area of Kolkata by department of Surgery Nil Ratan Sarkar Medical College Hospital, Kolkata, West Bengal Place and duration of study: This is a retrospective study conducted at rural area of Kolkata beeing carried out by Nil Ratan Sarkar Medical College Hospital, Kolkata, West Bengal from 1st of February 2018 till 31st January 2020. Material and Methods: All cases who underwent choledochtomy from 1st February 2018 till 31st January, 2020, the T tube is connected with 50cc syringe wtih drain bag. Results: Among 91 cases who underwent choledochtomy from 1st February 2018 till 31st January, 2020, the T tube was connected with 50cc syringe. We noted biliary leakage in 7 cases (7.69%). This method was successful in 84 cases (92.31%). Conclusion: Improvisation of cheap and easily available alternative sources not only makes the cost of surgery cheaper and affordable for the patients but also gives satisfaction to the surgeon as proved by above study. [ABSTRACT FROM AUTHOR]