The focus of this system of surgery is the district hospital where, inevitably, most of the surgery that is needed in the developing world has to be done (1-6). There is however some surgery that can and should be done by medical assistants in a health centre. This has been described by Peter Bewes in the manual described below. Surgery can also be done in a health centre by a visiting ''surgeon' and is particularly valuable for tubal ligation (15.4).
Bewes P, ''Surgery', TALC Teaching Aids at Low Cost, The Institute of Child Health, 30 Guilford Street, London WC1N 1EH. Also from AMREF Box 30125 Nairobi.