Lall Ramnath Sawh CMT, FRCS (Edin), FACS (born 1 June 1951) is a Trinidadian urologist in the Caribbean and Latin America. Based in Trinidad and Tobago, Sawh was a pioneer of kidney transplantation in the Caribbean in 1988 and is a recognized leader in the field of urology. Early life and medical training Lall Sawh was born in a Couva, Trinidad and Tobago where most of his time was spent selling produce in a local market. Despite having to utilize brown paper bags as notebooks, Sawh was able to excel in school and attended Naparima College, San Fernando, one of Trinidad's premiere secondary schools. He held the position of "Head Prefect" and subsequently entered medical school at the University of the West Indies - Jamaica, when he was just seventeen years old. Graduating with first class honours, Sawh was awarded a Commonwealth Scholarship after medical school and moved to the United Kingdom to specialize in urology. In 1985, he moved to the United States to complete his training as a Laparoscopic and Endoscopic Urology Fellow at Mayo Clinic in Rochester, Minnesota. He completed further training at the Urology Department at Washington University School of Medicine. He would later complete further training in transplant surgery and minimally invasive laparoscopic surgery and is credited as introducing these procedures to the Caribbean. Career By 1962 Trinidad and Tobago had gained independence from Great Britain, and by 1976 the country had become a republic with the Commonwealth nations. Urology in Trinidad was in its infancy, and the departure of the only two practising urologists left a void in the field. Dr. Sawh was therefore left as the sole urologist, giving him the opportunity to pioneer several urological procedures at the San Fernando General Hospital. This included the introduction of the percutaneous nephrolithotomy surgery for staghorn calculi on the island. After observing the high rate of diabetes and renal failure on the island, Dr. Sawh returned to America for further training in renal transplant surgery. On 27 January 1988, Sawh was the lead Urologist who performed the first set of kidney transplants in the country. He would later collaborate with some of the surgeons on that team on what would become very high-profile cases on the island. Sawh is also acknowledged for introducing renal hypothermic surgery on the island and is credited as the first surgeon in the Caribbean to perform a phalloplasty. In 1994,