The philosophy of management of skeletal tuberculosis has been greatly influenced by the availability of effective antitubercular drugs, facility of modern imaging modalities for diagnosis at predestructive stages of disease, and changes in the socioeconomic status of the people. Techniques have evolved to retain and restore the mobility of articular disease. The looming challenge of ""super-bugs"" has been addressed with possible modalities to combat it by immunopotentiating techniques. The 6th edition is a compilation of the personal clinical experience of the author and relevant information from the international literature. Many new pictures have been added mostly as ""composites"" to express the story as it evolves in clinical management. This book is a source of knowledge of biological processes of activity and healing of disease, and for rational options for effective and safe management of tuberculosis of the skeletal system.