A surgeon and his wife, a University lecturer, write of their thirty years in Africa - AIDS, diseases, local culture, polygamy, family planning, and the failure of international donors to alleviate poverty. They enjoy the beauty and fascination of the Land and Lake of Malawi. "A riveting account with first hand evidence of 'the poor'." "He undertaking surgical proceedures with minimal technical resources - they appalled by the gravity of AIDS." "Some people will be shocked and scandalised by what they say."