Healthcare is funded by the government, undertaken by one resident doctor from South Africa and five nurses. Surgery or facilities for complex childbirth are therefore limited, and emergencies can necessitate communicating with passing fishing vessels so the injured person can be ferried to Cape Town. As of late 2007, IBM and Beacon Equity Partners, co-operating with Medweb, the University of Pittsburgh Medical Center and the island's government on "Project Tristan", has supplied the island's doctor with access to long distance tele-medical help, making it possible to send EKG and X-ray pictures to doctors in other countries for instant consultation. This system has been limited owing to the poor reliability of Internet connections and an absence of qualified technicians on the island to service fibre optic links between the hospital and Internet centre at the administration buildings.

What makes it impossible to send EKG pictures to other countries?