At a school in Telangana's Karimnagar district, boys and girls line up to show identical scars on their stomach. More than 30 of them have had appendicitis operations. Some as young as six. Manoj, a Class 8 student of Mootapally Zilla Parishad school, says when he had a stomach ache, he was taken to the doctor and then referred to a clinic for a surgery. It cost Rs. 20,000.