Background: Majority of the global population live in the rural communities and such communities in the third world are relatively poor with limited access to surgical care. Materials and Methods: This was a cross sectional descriptive study of patients with surgical conditions in resource-constrained rural communities of Benue State. Results: Of 59 patients recruited, the age group with more morbidities was 41-50 years. Most frequently performed procedure were herniorrhaphies 27 (45.8%) amongst lump excision (including cysts) 14 (23.7%), hydrocelectomies 8 (13.6%) and appendectomies 6 (10.2%). Others included herniotomies 2 (3.4%), Orchidectomy 1 (1.7%) and varicocelectomy 1(1.7%). About 54 (91.5%) of the cases were done under local anesthesia. Conclusion: The commonest surgical conditions were hernias and lumps (lipomas). Periodic medical outreaches by Family Physicians provide a unique alternative opportunity for these resource constrained communities to access health care at a relatively reduced cost.