Tibia is the most exposed bone in the body and vulnerable to trauma therefore its fractures are common among the long bone fractures. Tibia also is the common site of non-union in long bone fractures. Treatment of infected non-unions of tibia with Ilizarov ring fixation is effective but for optimal functional results the treatment needs to be highly individualized in our country. Early transfer to a specialized unit, patient selection and education regarding the duration of treatment, emotional, financial and social support are absolutely essential.