While embarking on a general surgical career as a worker in Africa, I found the breadth of surgical need far beyond my narrow thinking. General surgery gave way to gynecolgy, plastic surgery, orthopedics, urology, and ultimately neurosurgery as pertaining primarily to children with hydrocephalus and spina bifida. The rehab surgery has endured as my focus for the last thirty years. It has been a journey where there are few surgeons involved and where the huge needs seem to have opened a wonderful spiritual path.