Obstetrics and gynecology is a discipline proud of its history and the influence it has exerted on the well-being of women. Obstetrics is as old as the human race. The birth of gynaecology coincided with the advent of modern surgery. This book reviews the history of midwifery and describes the development of the specialty in Trinidad. We owe a great debt of gratitude to the influence of four pioneers whose achievements I have recorded. I have mentioned other specialists in the field who have made significant contributions and would like to apologise for the omission of many collegues who have played a part in elevating the standards of O&G in this country: "Were I to await perfection, my book will never be finished". Medical education has assumed great importance in the West Indies over the past decade. I have taken up the story with the founding of a Faculty of Medicine in Jamaica in 1948 and traced our progress towards the establishment of our school at Mt. Hope. It is hoped that the information provided about the performance of undergraduates will enhance the educational strategies employed to achieve our goals and encourage a strengthening of clinical teaching in future by focussing the attention of teachers on a key area of their educational role. I also hope that this book will be a stimulus for students to enquire further into the history of O&G as a pathfinder in the search for better patient-care in the new millennium