Unoperated cataract is the cause of millions of cases of visual impairment and blindness in poor populations throughout both the developing and the developed world. This wonderfully written volume shares the experiences of a team of surgeons who have demonstrated how the surgical procedures can be simplified and made more efficient, accessible, and far less expensive. It is a step-by-step manual to solving the problem where adequate surgeons can be trained to follow suit. Subject matter ranges from ways to increase demand among those who need surgery to the organization of surgical services, responsibilities among different personnel, efficient layout of clinical facilities, and how to sustain services at the least cost to those who need it most. The basic lessons in this volume will remain pertinent for decades to come and provide a blueprint worthy of mass replication.