The Lilongwe Institute of Orthopaedics and Neurosurgery (LION) Trust was established in 2016 to finance and run a new, independent musculoskeletal institute at Kamuzu Central Hospital (KCH) in Lilongwe, Malawi - to improve the treatment of injuries and musculoskeletal and neurosurgical disorders, and to train specialised surgeons and other health workers for the nation.