Instruments of Change is the remarkable memoir of Lakshman Agadi, the ninth child of fourteen born to a self-made merchant in a small Indian village, who went on to revolutionise women's healthcare and build a globally recognised medical instrument company — starting with just seven dollars in his pocket. Born in 1944 in Lakshmeshwar, Lakshman grew up in a household shaped by resilience, ambition, and a father who, despite being illiterate, understood that education was the only true inheritance worth leaving. From fetching water barefoot every morning to navigating the journey from village to metropolis, medical school, and eventually America, Lakshman's path was one of constant reinvention. He founded MedGyn, developed surgical instruments that bear his name and are used by doctors worldwide, and dedicated his life to improving the standard of women's healthcare across the globe. This is a story of vision rooted in humility — a village boy who changed the world one instrument at a time, and whose legacy now passes to the next generation.