In this chapter, the authors focus on the aspirations and experiences of reproductive-health practitioners whose working lives are entangled in global circuits. They draw on selections from a rich ethnographic literature on health practitioners – and on their own experiences from ethnographic fieldwork in Turkey (Erten) and Malawi (Wendland) – to describe the global movements of maternal health practitioners, and the circulating ideas and objects with which they work. Reproductive-health professionals often migrate along long-entrenched paths. Migration's impact on nurse–midwifery goes beyond staffing, however. It shapes the imaginations of trainees, who often understand themselves as aspirants to a global profession. Inequalities rooted in deep histories of colonial and capitalist extraction keep the engines of these migrations turning. Even when practitioners themselves do not travel, the technologies they use do.