In 1968 when the late King Mahendra suffered a heart attack while on a tour of western Nepal, Dr. SK Pahari was among the first Nepali physicians to be flown in by a special flight to attend to the ailing monarch. Under Dr. SK Pahari’s care and medical advice, King Mahendra made a full recovery. This was the start of Dr. SK Pahari’s long tenure as initially the unofficial and later as the official Royal Physician of Nepal, becoming the first Nepali to hold this title. Yet, even at the peak of his 25-year service as the Royal Physician, Dr. SK Pahari’s professional instinct and commitment to serve as doctor to the common people of Nepal was not overlooked. Even as he attended to the health of Nepal’s monarchs, Dr. SK Pahari maintained a full working schedule as a senior consultant in the department of Medicine at Bir Hospital, the nation’s chief multi-specialty hospital.