A plastic surgeon who has litigated a dispute for 14 years with a Houston hospital and medical school must pay over $1.81 million of their lawyers’ fees for sanctions for filing frivolous litigation.

The large fee award will go to lawyers at Vinson & Elkins and Norton Rose Fulbright, who since 2006 have defended Texas Children’s Hospital and Baylor College of Medicine against claims by Dr. Rahul Nath, in seemingly never-ending litigation that has twice landed on the Texas Supreme Court’s doorsteps.