There is a critical need for surgical capacity in Africa, particularly in subspecialty areas such as oncology. In Zambia, only 46 practicing gynecologists provide care for over 6 million women. The Gynecologic Oncology Consultation Service was established in January 2010 to address these unmet cancer care needs in the country. The service is based at the University Teaching Hospital in Lusaka, Zambia. The Divisions of Gynecologic Oncology at the University of North Carolina at Chapel Hill and University of California, Irvine support the service through faculty exchange visits.