In July 2009 I was privileged to contribute to a project in the city of Ho in Ghana. Ho is the capital of the Volta Region in the far eastern territory of Ghana, on the border with Togo. The population of Ho is 1.5 million people and they had little eye care since the sad passing away of their ophthalmologist in early 2007. Our objective was to help the Regional Hospital in Ho to establish an efficient surgical eye service and we were able to work with the very able and eager local staff to fulfil this objective. We also performed a high number of cataract operations and were very pleased with the progress that had been made by the end of the journey.