In 2007 Tanzania President Kikwete was guest of honor at the dedication of the new Orthopedic Center at Machame Hospital.  Modern new surgery, pre/post op, supply prep and storage were built and new modern equipment installed for use with Orthopedic patients. Additional patient space followed with the creation of Orthopedic mini wards and physical therapy space. Dr John Lyimo is the Medical director of Machame Orthopedics with Bob Kasworm serving as administrator.
The orthopedic program consists of weekly clinics with surgery several days a week. All manner of general orthopedics procedures are performed with a great deal of internal fixation of fractures and correction of congenital conditions (especially club feet) being done. Dr Lyimo performs a full range of surgery, along with occasional visiting surgeons from inside Tanzania as well as Europe and the USA.  The first artificial hip implant occurred in 2009.