The surgical needs of Ethiopia are not met by traditionally trained su
rgeons. Ten recently registered doctors were trained for a two-month p
eriod in 20 selected lifesaving procedures. Evaluation of their skills
one year after their course suggested that they were able to save liv
es and to use their skills either under supervision or alone. The trai
ning of physicians before their appointment to rural areas is a possib
le solution to the unacceptably high morbidity and mortality from surg
ical causes in rural Ethiopia.