Dr. Venkataswamy wanted to emulate the service efficiency of McDonald's fast food and sought to adapt it to the eye care system to cope with increasing the numbers of patients treated.

[9] Aravind established an outreach program wherein doctors reach out to remote villages to conduct eye camps, some times, in association with various organizations.

Aravind started performing 5 times the number of cataract surgeries that were performed in the entire country and 16 times more than that of the entire U.S.[11] Aravind focused on rotating doctors between free and paid wards, concentrating on efficiency and hygiene thus eliminating differences between the surgeries done for paid and non-paid patients.

Aravind later expanded to five more cities in Tamil Nadu including Tirupur, Salem, Dindigul, Thoothukudi, Udumalaipettai and neighboring Pondicherry.

[13] In 2019, with the support of TTD who allocated the land at a nominal lease, Sri Venkateswara Aravind Eye Hospital, Tirupati branch was established in March 2019 to provide access to 14 million population of Chittoor, Nellore, Kadapa, Anantapur and neighbouring districts.

Aravind also set up its first overseas venture in Nigeria in 2018 in partnership with Chanrai Group which is probably the largest eye-care facility in Africa with a capacity to perform 10,000 surgeries annually.