Drs James Johnston and John Grant traveled to West Africa April 23-May 1 to work with surgeons at the Komfo Anokye Teaching Hospital (KATH) in Kumasi, Ghana. Our collaborators in Kumasi, Drs Solomon Obiri Yeboah (Maxillofacial Surgery) and Frank Boakye (Neurosurgery), both spent time as Global Surgery Fellows at Children’s of Alabama in 2015, and are working to establish the first craniofacial surgery program in Sub-Saharan Africa. During our visit, we assisted Dr Obiri and Boakye with 7 surgeries, including complex repairs of encephaloceles, craniosynostosis and a cleft lip/palate. Dr Johnston also assisted colleagues in adult neurosurgery with resection of a large thalamic brain tumor. In addition to surgical training, Dr Matt Davis (UAB Neurosurgery resident) met with hospital leaders to establish Web-based traumatic brain injury and craniofacial databases in preparation for future research and outcome studies. Overall, the trip was very successful: all children have been discharged home intact without complications, the craniofacial center is well organized with good perioroperative facilities and personnel, and the existing relationship between KATH and CHA has beenstrengthened for future clinical training and research collaboration.