A program in cardiovascular surgery from Baylor College of Medicine was transplanted halfway around the world to the Kingdom of Saudi Arabia, providing services with results similar to those obtained in more medically advanced areas of the world. In order to do this, however, numerous support services must be in place and functioning efficiently, and there must be a cooperative spirit on the part of all concerned. In this manner it has been possible not only to provide cardiovascular service to the Kingdom, but also to establish a bidirectional training program. It is intended that eventually this program of cardiovascular surgery will be conducted by Saudi nationals.