Kenya’s specialized surgical care needs have increased greatly over the years, and continue to do so. The general doctor-population ratio in Kenya is 1:7100 compared to the recommended World Health Organization figure of 1:600. For the specialty of thoracic and cardiovascular surgery, the ratio is 1:3500,000. This course aims to produce Thoracic and Cardiovascular Surgeons with the requisite skills and competence in the overall care of the patient with general thoracic, cardiac and/or peripheral vascular problems, and to produce Thoracic and Cardiovascular Surgeons able to meet the requirement of the World Health Organization programme of Integrated Management for Essential and Emergency Surgical Care.