The big day had arrived – the first day of surgery. Having been selected for surgery, the electrical burn patient was the first to be taken to theatre. It was amazing to see so many students eager to witness really challenging plastic surgery. The scrub nurse, Sue, worked closely with the Tanzanian theatre nurses to co-ordinate and support activities. Everyone was aware that this was a particularly challenging case and Jeremy the surgeon had a lot of work to do with a six hour procedure. What a relief when the operation went well and he was wheeled back to intensive care all bandaged up ready for a good night’s sleep. The rest of the team set off to do teaching in the school of nursing. Jerome found the students very lively and enjoyed answering their questions about multi-disciplinary working. Peter and Catherine delivered training on first aid for burns to the final year BSc nursing students. The heavens opened that night and the rains beat against the roof of the accommodation with rivers running down the windows. However not even the constant rain stopped the dogs from barking and the cockerels from crowing!