Orthopaedic conditions and their treatment in low and middle income countries (LMIC) are one of the ‘Cinderella’s’ of medical and indeed surgical care, a situation that can lead to a lifetime of disability and pain. Surprisingly, this is not necessarily due to a lack of surgical ability, but more a total lack of supporting infrastructure and a reliable, informed supply chain. Here at Orthopaedics International, part of the Medical Aid International family, we have worked diligently with our partners to develop solutions suitable for LMICs. Our aim is to create a sustainable, holistic approach, to provide quality orthopaedic equipment and implants, alongside a comprehensive training package in order to deliver a solution that works for the long term