Six months after the complex operation to remove Lakshmi's parasitic twin, doctors discovered she had developed scoliosis, or a curvature of the spine.
Without a complex operation to correct her spine doctors have warned her back will be forced into increasingly severe deformities as she grows, possibly leaving her disabled.
Separately, Lakshmi requires an operation to 'detether' her spine after it was discovered she was born with abnormal tissue connecting the spinal cord to her nervous system.
In a further operation orthopaedic surgeons must perform a procedure to 'close her hips', which are set too far apart and result in an unusual 'gaited' walk.
Finally, plastic surgeons will need to find a way to create buttocks for Lakshmi, which did not form in the womb because of the unique way she was connected to herparasitic twin. In the same operation surgeons will have to fix related problems with her bladder and intestines.
'Lakshmi has come such a long, long way but we're very scared for the future,' said her mother Poonam.