Christian Medical College started is first Family Medicine residency in 1993. Multiple international partnerships have played their role in developing the Family Medicine program. This presentation describes the current state of Family Medicine education and the specialty of Family Medicine in India. It discusses the multiple partnerships and strategies employed over twenty-four years to reach the current level of family medicine education and specialty development at the Christian Medical College of Vellore, India. It recommends applications from this for partnerships to develop Family Medicine in other countries.