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Under his stewardship, the department of ENT attained vitality. He initiated numerous operating teachings which are acknowledged as "Dr. Hiranandani's Operations" internationally. He was instrumental in instigating the conception in India that head and neck surgeries come under the domain of the ENT surgeons. The first such department was setup in B.Y.L Nair Hospital in 1972. The department is recognized as "Dr. Hiranandani's Department of Otolaryngology and Head & Neck". Dr. Hiranandani's work has earned him many accolades. The American Society of Head & Neck Surgery chose him as their first Indian member. The International Federation of Otolaryngology and Head & Neck Societies awarded him the "Golden Award" the first Indian and fifth in the world to get it. He has been voted as "Millennium ENT" by SAARC nations.
Social causes have intensely driven him. In 1973, he gave up a vivacious private practice to undertake social work in drought regions of Maharashtra for period of 8 months. He has directed aid for the flood affected individuals in Orissa and Bihar. He was bestowed "Maulana Azad Award" by Indian National Congress in recognition of representative work during 1993 communal riots in Mumbai. In the field of medical ethics, he has spear-headed the passing of the Human Organs Transplantation Bill by Lok Sabha in 1994. By this act the purchasing of kidneys is professed as a crime. His human nature made him stand up for the rights of individuals and also to fight against capital punishment and euthanasia. He has won other public awards such as, in 1972, was awarded "Padma Bhushan" by President of India. In 1988, was conferred the "Dhanvantari Award", first time awarded in the field of ENT, for his prominent contribution to science of medicine.