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Paul Brand's dedication to the field of hand surgery and his missionary work in the subcontinent of India is to be emulated by us all. His details of experimental surgical tendon transfers in Leprosy patients in the context of less than optimum surgical conditions are indeed of value to many of us fortunate to practice the art of surgery in the United States of America and the rest of the first world. I have been fortunate enough to live part of my life in India, however, for the last 32 years I have yet to revisit the country; Paul Brand's recollection of details and the drama of life portrayed in the book has allowed me to put things in better perspective. I hope that someday I will be as daring as Dr.Brand; he poses a challenge which I hope to take on in the future. I thank you for allowing me to submit Dr.Brand's work.