There is one specialist spinal orthopaedic surgeon with an interest in telemedicine and three other doctors who have the care of a hundred beds. It is very multidisciplinary with nurses, physiotherapists, occupational therapists and social workers all working together, and unlike any other health care professionals in Bangladesh. I saw wheelchair users everywhere and quite a few of the staff were disabled. It was clean, ordered and well run. There was so much to the complex; it was almost like a little community. Apart from the wards, there were workshops to teach wheelchair users a different trade such as carpentry, metal work, electrical work, and sewing. There were training areas to teach the use of a wheelchair and a 'half way house' where patients learn daily living skills in their wheelchairs. I was delighted to see a 'training village', imitation houses with no gas or electricity and manual pumps for water, to help people adapt and cope when they returned to their own environment and the teaching of a useful skill such as looking after chickens or goats. There was an area for wheelchair sports, a place where they designed, produced and recycled wheelchairs, a mother and baby unit for children with cerebral palsy as well as education programs offering degrees and diplomas and so much more. There were people with many different nationalities doing volunteer work. I was very impressed and learnt an awful lot, and wish I could have extended my stay to a week or more or even the entire elective. Dr. Hoque, the orthopaedic surgeon is wonderful and there is even a guesthouse on the premises. It is a place I would highly recommend as an elective, especially to someone with an interest in orthopaedics and neurology.