There are (7) operating tables located in (6) rooms including an ophthalmological suite. The hospital performs over 3000 major operations and 5500 minor operations per year. They are well equipped with nails and plates for orthopedic surgeries and with video endoscopy with a range of scopes. There is no fluoroscopy capability but some laparoscopic surgery is done. Fine needle aspirations are done. There is no portable x-ray in the operating rooms. Surgeries are performed daily and six Cameroonian nurse anesthetists do most of the anesthesia. The surgery services cover a broad spectrum of surgical diseases including pediatric, adult, obstetric/ gynecologic, orthopedics and ENT. PAACS residents rotate working under the surgical sub-specialists. Short term volunteers in both general surgery and sub-specialties (also anesthesia and radiology) should understand that teaching and not doing cases is their primary goal. The curriculum is similar to the United States with both formal lecturing and hands-on