The Author had years of surgical, EMST and general medical experience in non-teaching environments. Then he became involved in the development and teaching, at a professorial level, of a Tertiary level medical course in a new Medical School in southern Ethiopia. The teaching language was English, the text-books were in English; however, the students had limited English abilities with English often being their third or fourth language. The Author’s intention was to make them competent doctors, acceptable at a primary care level in any world context. The book was written to assist in those students studies with a particular emphasis on physical examination and practical medical diagnostics in a surgical context. The book contains many photographs to help explain the text. Although the book is specifically written for linguistically challenged students in educationally underdeveloped and highly populated areas of the developing world. This book is essential reading for any prospective medical student or beginning surgeon.P.S. There are now a goodly number of my former students whom I would allow to operate on me!