Last night a lady arrived at Ghana’s Baptist Medical Center in labor with twins. Our ultrasound quickly confirmed their heart rates were low, and a Caesarian was needed at once. A familiar scenario out here – and for the last 60 years it was the American doctor who performed these surgeries. But times are changing for the better. Instead of doing the surgery myself, I called Hakeem Ofosu. He and Mwinyogle Aubrey are the two Ghanaians who just graduated from medical school and are with us for two months. I guided Hakeem through is first Caesarian. Just in time, too, for I’m about to leave (‘rescue’) and Hakeem and Mwinyogle will stay on as the only doctors (‘self-sufficiency’).