Dr. Ruenes teaching surgical technique in DakarASSISTS (America-Senegal Surgical Initiative, Surgeons Teaching Surgeons) is a non-profit corporation dedicated to providing African surgeons training and support in order to eliminate suffering from medical conditions endemic to West Africa.  The collaboration involves American and West African surgeons working together in Senegal to incorporate contemporary surgical techniques and improve the facilities in which these services are provided.  The aim of ASSISTS is to develop a Center of Surgical Excellence to serve the needs of the West African people while remaining respectful of their culture and customs.