Elephants remain a special attraction at Asia’s largest cattle fair that happens at Sonpur in the Eastern Indian state of Bihar each year during November and December. A health camp for captive elephants was organised by the Wildlife Trust of India and the International Fund of Animal Welfare each year since 2001, where elephants are examined and treated and their owners are educated and made aware about the welfare of their animals. This publication reports on the four health camps for captive elephants held at Sonpur from the years 2001 to 2004.