Following the liberation of Iraq in 2003, the Coalition Provisional Authority and the US Department of Defense convened a group of 24 American consultants, one from each of the medical and surgical specialty societies, to assist in the reconstruction and modernization of the Iraqi medical profession. The Department of Defense, through the direct effort of US Army Surgeon General LTG James Peake, MC USA, was an important collaborator in this effort, for there was still an urgent need to provide security and protection to both the Iraqi and the American physicians in their collegial efforts. I was fortunate to represent the specialty of otolaryngology–head and neck surgery in this alliance, which was headed by a former president of the American Academy of Ophthalmology, Michael Brennan, MD. The initial meeting with Iraqi physicians was in the so-called Green Zone of central Baghdad, where plans for the reconstitution of the Iraqi Society of Physicians and the specialty societies were discussed, along with issues of the development of an effective emergency medical transport system; modernization of emergency centers, operating rooms, and surgical suites; and the improvement of public health in the country. Efforts by this group, known as the Medical Alliance for Iraq (MAI), have been widely successful, resulting in an improvement of emergency patient care, introduction of contemporary therapeutics, and the development of 2 continuing medical education centers in the country, which were initially staffed by MAI physicians (including a team of facial plastic, general plastic, and oculoplastic surgeons) but are now staffed by Iraqi physicians for their own self-education. The country's medical education and residency training programs are now more regulated and consistent. It has been a successful program for all of the specialties, but particularly for otolaryngology–head and neck surgery, since we now have new colleagues who were previously isolated.