It is now almost necessary to complete your Post Graduation in the medical field if you want to progress your career. A specialisation in the stream of your choice gives you the edge over others. Be it a private practice or a job in a hospital, an MD is preferred over an MBBS. It thus becomes a very attractive goal for all the MBBS doctors.
That being said, it is not easy to get an admission in the Medical Colleges for Post Graduation. The limited number of seats in most medical colleges of India already make it tough to get past the cut-off for most aspirants. Add to that the complication of not being able to get the specialisation of your choice. Surgical specialisations have higher cut-offs and are thus more difficult to obtain seats. Even if you are able to get past these hurdles and get the seat in the specialisation and college of your choice, the course fees is quite high for most Indian students.
Studying PG Abroad again gives the students another chance to pursue higher studies in the medical field. Universities in countries like US and Germany are well known for their higher studies curriculum in medical field. Studying Medical PG in these 2 countries also opens up the way to settle down abroad as a practicing doctor.