Accessing India’s medical devices industry through an indirect route remains attractive to foreign firms. India is heavily reliant on foreign imports: 70 percent of its medical devices and equipment are outsourced from other countries, particularly from the U.S. Medical device companies that have already been approved in the U.S., Europe, Canada, Japan or Australia are able to legally sell in India. Prior to starting the import process, firms must prepare and submit a technical dossier; documents that clearly detail the type of devices intended for import and their associated risks. Devices with higher levels of risk to patients, and which necessitate greater control for safe use, will require a longer dossier and will further be subject to stricter checks. Should the dossier be found to lack all relevant information, it will likely be rejected.