When AHA first began doing surgery in the village of Kabudula (Kab) in 2014, international visitors completed most of the procedures, and only very minor procedures could be done when we weren’t there. The road from Lilongwe to Kab was dirt, and only one clinician had experience in minor surgeries and could independently complete minor procedures. Yet there were hundreds of patients with untreated surgical conditions around Kab trading center alone, and services had not yet been extended to the surrounding rural health centers.