This project began with a initial scoping visit to Tanzania. The project aims were to explore the potential for BSSH and BFIRST supported educational projects in Tanzania and to deliver a three-day educational course covering a wide range of topics to local surgeons. The educational programme was delivered to a group of local specialists, trainees and generalists and one therapist. Teaching consisted of lectures, discussion groups and a wide range of local clinical cases. Discussions were held to further understand the local educational needs and how they be best met in the future. Overall this was a successful visit confirming the real potential for BSSH and BFIRST to support the development of surgical practice in Tanzania.