After graduation from University of Tennessee College of Medicine in 1964, my wife and I spent 5 months at a mission hospital in Tanzania, East Africa. I completed Internship and general surgery residency at Parkland Hospital and University of Texas Southwestern Medical School in Dallas. I spent two years in the US Air Force with one year in Vietnam. After certification by the Am. Board of General Surgery in 1974, we spent the next 7 years at Egbe Hospital in southern Nigeria as full time medical missionaries. In 1983 I completed a Plastic Surgery residency at the University of Tennessee in Memphis and remained on the plastic surgery staff until 1984. From 1985 through 1987, we returned to Nigeria and worked at Evangel Hospital in Jos, Nigeria, again as full-time medical missionaries with the mission organization, SIM. In 1985, I received certification by the Am. Board of Plastic Surgery. In 1987 I joined the Plastic and Hand Surgery (now Hayes Hand Center) Groups in Chattanooga, Tennessee. I have been an Assistant Clinical Professor of Plastic and Orthopaedic (Hand) Surgery at the University of Tennessee, Chattanooga Unit, from 1988 until the present time. In 1989, I obtained the Certificate for Added Qualifications in Surgery of the Hand by the Am. Board of Surgery. I was recertified in 1996 and 2007. Between 1987 and 1995, we made several trips to work and teach at remote mission hospitals. In 1996, we returned to full-time missionary service with SIM. At that time I was the only full-time missionary plastic and hand surgeon from the USA. Since then we have visited 26 different mission hospitals in 21 countries on 77 overseas trips in a ministry called, “Home Schooling for Missionary and National Doctors”. I am also an editor and author of the E-book "Principles of Reconstructive Surgery in Africa" which is Published as an e-book by Pan African Academy Of Christian Surgeons (PAACS), a division of CMDA.