
On 6 October 2026, the National Medical Commission (NMC) published its Guidelines on Ethical Advertising and Public Communication by Hospitals/Medical Institutions and Registered Medical Practitioners. They took effect immediately.
The guidelines cover websites, blogs, social media, WhatsApp, influencers and AI-generated content. If your clinic or hospital has an Instagram page, a website or a marketing agency, they affect you. This article summarises what the document says, in plain language.
This is a summary for general information, not legal advice. Read the original public notice on the NMC website (No. R-13014/01/2024-Ethics, dated 06/10/2026), and consult your State Medical Council or a legal adviser for your own case.
The public notice says the guidelines were framed in view of Writ Petition (Civil) No. 1160/2023 before the Supreme Court of India and the Indian Medical Council (Professional Conduct, Etiquette and Ethics) Regulations, 2002. The stated objectives include:
For RMPs, the guidelines are read with the 2002 Ethics Regulations and the NMC Act, 2019. For hospitals, they are read with the applicable Clinical Establishment Act or State Act, which prevails if there is a conflict.
The definition is wide. An advertisement is any communication, in any medium, that directly or indirectly solicits or promotes the professional services, reputation, skills, qualifications, achievements, facilities or commercial healthcare services of an RMP or hospital.
The listed media include print, television, radio, social media, websites and blogs, messaging platforms such as WhatsApp, podcasts, influencer marketing, sponsored posts, AI-generated promotion, public interviews, and news articles intended for promotion.
What is not treated as advertising:
These are the main prohibitions in Chapter III of the guidelines. Most are addressed to RMPs; the rows on superiority claims, inducements and fake engagement also name hospitals and medical institutions.
| Area | What the guidelines prohibit |
|---|---|
| Solicitation | Soliciting patients directly or indirectly, self-promotion, and engaging a third party to market medical services. |
| Fear and demand | Fear-based marketing, and advertising meant to create unnecessary demand for procedures or diagnostics. |
| Exaggerated claims | "Guaranteed cures", "Best doctors", "No.1 Specialist", "100% success", "painless treatment", "Miracle treatment", "Exclusive cure", and advertising success rates or number of patients treated. |
| Superiority claims | "Best", "leading", "most trusted", "top" and similar, unless objectively verifiable by a transparent, independent methodology. Any award or ranking used must be independently verifiable, with its source and date disclosed. |
| Product endorsement | Endorsing or recommending any drug, device, health product or commercial product in advertising, whether or not payment is received. |
| Cases and results | Publishing cases for promotion, advertising surgical results, before-and-after photographs, publicising celebrity patients and personal success stories, unless strictly scientific or educational with anonymized patient consent. |
| Unproven therapies | Statements that create unrealistic expectations, conceal risks, or promote unproven therapies or secret remedies. |
| Commissions | Commissions, referral fees, lead-generation fees or similar payments connected with referring or procuring patients. Agency and platform contracts must not link payment to individual patients referred. |
| Inducements | Discounts, limited-period offers, contests, coupons, cashbacks, referral benefits or free procedures used in a way that encourages unnecessary consultation or treatment, or amounts to solicitation. |
| Third parties | Using celebrities, influencers, patients or employees for prohibited testimonials or endorsements, or using any intermediary to do indirectly what is prohibited directly. |
| Fake engagement | Fake followers, likes, reviews, ratings or views, and manipulating search rankings or algorithms to create a misleading impression of professional standing. |
This is the part most clinic social media pages will need to check.
The guidelines address AI directly:
The guidelines restrict promotion, not information. These remain permitted.
For hospitals and clinics:
For doctors:
For RMPs, action is taken by the concerned State Medical Council (SMC). The guidelines list graded action that the SMC may contemplate:
| Violation | Action |
|---|---|
| First violation | Warning and mandatory ethics training |
| Second violation | Censure and monetary penalty |
| Third violation | Suspension of registration for 3 to 6 months |
| Serious violation (misleading cure claims, inducement of patients, digital mass solicitation) | Suspension for 6 to 12 months |
| Repeated violations | Removal from the medical register for 1 to 3 years |
Penalties can be imposed only after a show-cause notice and an opportunity to respond, and the SMC must issue a reasoned order.
An RMP can appeal to the Ethics and Medical Registration Board of the NMC within 60 days, and file a second appeal within sixty days of that decision.
Hospitals and medical institutions are dealt with under the applicable Clinical Establishment Act or State Act. Where a doctor personally authorised or took part in a hospital's prohibited communication, that doctor's conduct can be examined separately.
Read the applicability carefully:
So an Ayurveda hospital or Panchakarma centre that is a clinical establishment should treat these guidelines as relevant to its advertising. Ayurveda practitioners are also governed by their own regulator's code of professional conduct, and by existing laws on misleading health advertisements, which already restrict cure claims.
The practical conclusion is the same in either case: keep public communication factual, avoid cure and superiority claims, and keep patients' identities out of promotion. If you are unsure how the guidelines apply to your establishment, ask your state council or a legal adviser.
Educational content remains welcome. A clear explanation of a condition, a public health message or a patient information leaflet serves patients and stays within the guidelines, provided it does not promote your own practice.
Good records support all of this. Documented consent, accurate case papers and clear fee schedules are what you rely on if a communication is ever questioned. If you want to see how Ayurveda case records are kept in software, read our guide to NABH documentation requirements or explore Ayumanager PRO for Ayurveda doctors.
Source: National Medical Commission, Ethics and Medical Registration Board, Public Notice No. R-13014/01/2024-Ethics dated 06/10/2026. Download the notice and guidelines from nmc.org.in.
What are the NMC advertising guidelines 2026?
They are the Guidelines on Ethical Advertising and Public Communication by Hospitals/Medical Institutions and Registered Medical Practitioners, issued by the National Medical Commission's Ethics and Medical Registration Board through a public notice dated 6 October 2026 (No. R-13014/01/2024-Ethics). They came into force with immediate effect.
Can doctors share patient testimonials on social media?
No. The guidelines say a Registered Medical Practitioner shall not request or share patient testimonials, recommendations, endorsements or reviews for professional promotion on social media. Fake, paid or misleading reviews and ratings are also prohibited, and patient consent does not make a prohibited testimonial permissible.
Can doctors post before-and-after photos?
Not for promotion. The guidelines prohibit displaying before-and-after photographs, advertising surgical results and promoting personal success stories, unless published strictly for scientific or educational purposes with anonymized patient consent.
Can a hospital or clinic still have a website?
Yes. Hospitals and medical institutions may publish factual, objective and verifiable information such as name, location, contact details, departments, facilities, equipment, services, emergency services, accreditation status and charges. A website directory of doctors with names, recognised qualifications, specialties, registration details and availability is treated as patient information, not as a paid or promotional advertisement.
Is AI-generated content allowed in healthcare promotion?
AI-generated promotional campaigns for commercial interest are prohibited. AI-generated content that otherwise conforms to the guidelines must carry a source mark stating that its origin is AI, and AI must not be used to create or manipulate a patient's image, testimonial, voice or clinical outcome.
What are the penalties for violating the NMC advertising guidelines?
The guidelines set out graded action that a State Medical Council may contemplate: a warning and mandatory ethics training for a first violation, censure and a monetary penalty for a second, suspension of registration for 3 to 6 months for a third, suspension for 6 to 12 months for a serious violation, and removal from the medical register for 1 to 3 years for repeated violations. A show-cause notice and a reasoned order are required.
Do the NMC advertising guidelines apply to Ayurveda doctors?
The guidelines define a Registered Medical Practitioner as one registered under the NMC Act, which covers modern medicine. However, the definition of hospital or medical institution covers clinical establishments in any recognised system of medicine, and one stated objective is ethical parity across all systems of medicine. Ayurveda practitioners are also governed by their own regulator's code of ethics and by laws on misleading advertisements, so the same cautious approach is sensible.
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