Rhythm I think we should clearify first what kind of surgery he is going to have ? Corrective for the disfigurement he has? or preventive. I went through OI foundation and NIH website and the IM Rodding or simply putting a rod inside the long bones for future fracture is not any different than the regular IM. check this http://www.osteo.org/newfile.asp?doc=i103i&doctitle=Rodding+Surgery+in+Children+with+Osteogenesis+Imperfecta&doctype=HTML+Fact+Sheet I am pretty sure Orthopedic Surgeons in Nepal can do this. But the question is why they have been denied that? May be poor prognosis and doctors did not want to be involved. The (Fassier-Duval Telescopic IM System) is pretty new technique and minimally invasive.