Some of the most revolutionary ideas start small and come from unexpected places. For a global humanitarian organization as large as MSF, finding and fostering these ideas from staff on the ground in more than 70 countries can be challenging. In 2003, MSF’s Manson Unit—a London-based team of specialists who provide medical, technical, and research support for MSF programs— founded the Sapling Nursery to help advance MSF’s most promising medical and logistical innovations.