This document summarizes a study on developing technological pedagogical content knowledge (TPCK) in pre-service mathematics teachers in Ghana. The study implemented a professional development program using teacher design teams and exemplary materials to design spreadsheet-based lessons. Results showed the program increased teachers' TPCK, with the teacher design teams and exemplary materials effectively supporting TPCK growth. Challenges remained in applying the new skills and overcoming infrastructure barriers in real classrooms. Overall, the study demonstrated the potential of this approach for developing teachers' abilities to integrate technology in their mathematics teaching.