 Iwan Marie Chupwanya from Malawi, 50 years old woman working for medical aid society of Malawi. I deal with patients, doctors and hospitals. That's the type of job that I do in Malawi. About 5 years plus I've had a back ache and I've been seeing my GP for all these years. The pain was progressing and I was changed on the painkillers I was receiving. And then this time come 2022, the pain was getting worse. So this other day as I was having my lunch hour walk, my leg just froze while I was walking. Then I went to see my GP. They said, I've given you so many, several painkillers that are strong. But this time I'll not do anything. You continue with that but I'll refer you to a orthopedic surgeon, which he did and I went to see the orthopedic surgeon. We have the orthopedic surgeon speciality but we do not have the spine specialist in Malawi. So he said, for this I'm going to refer you to Manipo. I chose Manipo because we have been sending so many patients and the success rate of all the patients that we sent to Manipo was very good, 99 plus. When I came, we came through the international registration. We registered, we met friendly frontline officers who were very helpful, told us everything that we were supposed to go through. After that the same day I was able to see my doctor. Recently we had an experience of treating one of the top officials from Malawi, Mrs. Annie, who came to us with severe back pain and leg pain, making her difficult to walk and stand for long time. She was barely able to walk a furlong and we diagnosed her using X-rays and MRIs to have lumbar canal stenosis with instability at lower levels. We offered her a surgical option knowing the severity of the functional disability and she happily accepted to undergo the proposed surgery. The way they received us and the way they treated us made me calm, made me feel at home and it gave me the belief that always we are going to be assisting. Post surgery she had recovered quite very fast and in a day she was able to walk few steps and in a weeks time in the guest house she could manage to walk a kilometer or so. After surgery my doctor came to see me and asked me are you having any pain from the concerns you had when you came? I said the pain has disappeared and the numbness and pain in my toes is also gone. You really feel that no matter what the way I'm being treated I'm going to recover and indeed I had a quick recovery then I was discharged and went to the apartment where we were staying we were told that the nurse would be coming every evening for the injections and one of the physiotherapy doctors would be coming also every day for physiotherapy which have been through that and now I'm able to walk or the pain is gone all the problems that I came with concerning my back have disappeared. The general spirit at Manipu is very good, is warm and that alone is healing. Your healing starts immediately when you walk so thank you to Manipu Hospital I'm very grateful now I can lead a normal life, go back and assist my people in Malawi.