[17][18] In 2007, he studied urology at the Medical College of Wisconsin, the US, under his World Health Organization fellowship.

6.2 million to the Royal Civil Service Commission, he resigned from the JDWNRH as a urologist to join politics in 2013.

Tshering contested the 2013 National Assembly Election but his party was knocked out in the primary round.

[25] His party won largest number of seats in the 2018 National Assembly Election, bringing Tshering to premiership[26] and Druk Nyamrup Tshogpa into government for the first time.

[27] On 7 November 2018, he replaced Tshering Tobgay and was sworn in as the third democratically elected prime minister of Bhutan.

[28][29][30] On 27 December 2018, he arrived in India for a three-day visit on his first foreign trip after assuming the office.