National Obstetric Fistula Centre Babbar-Ruga, Katsina is the first and oldest Fistula Centre in Nigeria, established by the missionaries and handed over to Katsina State Government as General Hospital Babbar-Ruga, Katsina. On 13th December, 2023, a memorandum was signed between Katsina State Government and Federal Government through Federal Ministry of Health ceding the Hospital to Federal Government as the second National Fistula Centre in the Country. The Centre was mandated to provide free Fistula Care to Vesico Vaginal Fistula (VVF) Patients from North-Western states of Katsina, Kano, Kaduna, Jigawa, Zamfara and Sokoto States. It also receives sizeable number of patients from other zones as well as neighbouring Niger Republic. Vesico Vaginal Fistula is an abnormal communication between the vagina of a woman and the urinary system thereby leading to the woman having continuous flow of urine from the vagina. Majority of the women with this condition are ostracised by their families, divorced by their husbands and stigmatized by the community. Since its inception in 2023, the Centre has undergone various forms of reforms and developments, such as infrastructural development and human capital development. Old and dilapidated structures inherited from the general Hospital Babbar-Ruga were renovated and upgraded, new structures constructed and equipped with the state of the art hospital equipment. The Center so far had two (2) Medical Directors, the pioneer Medical Director in person of Dr Aliyu Muhammad El-Ladan and the current Medical Director in person of Dr Sadiya Nasir.