Although we did not know what to call it, Envision had been a dream for what seems to be a lifetime. The dream of an Ophthalmology practice that encompasses compassion, humanity and empathy already started in 2008 when Dr Lourens Coetzee and Drs Philip and Precious Phatudi were medical officers in an amazingly effective government Ophthalmology Department in Mankweng situated in the beautiful province of Limpopo. Our relationship started years before when Lourens and Philip were high school tennis opponents. We studied medicine together, shared each other’s wedding celebrations and the births of our children. We were like family even before Envision opened its doors in December 2015. Dr Philip and Dr Lourens drive the eye services at Envision. Dr Precious is the head of ophthalmology at Sebokeng eye unit and Dr Yolandie Coetzee is the CEO of Envision. Together we aspire to change ophthalmology, not by fighting the old but by building something new.