She has been empowering young women from rural backgrounds to become world-class eye care professionals for the last forty years. He had initiated and implemented a rigorous process to audit the quality, service, performance and academic development of Aravind Eye Hospitals.

Dr. Nachiyar has also led the community outreach program of Aravin Group.

After retirement he is mainly into farming and has developed an organic farm, AuroFarm, which has been granted organic status by the Government of Tamil Nadu.