The "Friends of Africa-USCAP initiative" is a voluntary group initiated by Dr Fred Silva [Executive Vice President, United States and Canadian Academy of Pathologists (USCAP) a division of the International Academy of Pathology (IAP)] and a number of otherpathologists who came together under the auspices of the USCAP to try to understand some of the unique challenges of the African pathologist/s and to provide some help as may be needed for our colleagues in sub-Saharan Africa