Chiropractic, an American-born profession, has grown and developed internationally, especially within the last decade. In reality, however, this growth started long ago in other countries. This article explores the development of the profession in South Africa by examining the life of an American-trained, South African-born, chiropractor. During this time, the international chiropractic community was a small group with close ties to America. This was, in part, due to the fact that chiropractic education was only available in the United States and one was not considered "legitimate" unless he or she was American trained. The struggles of the profession are not unique to America; they have also occurred elsewhere. Chiropractic evolution in South Africa is examined as well as the development of registration (licensing) and tertiary education.