Human genetics in the Democratic Republic of Congo has evolved rapidly in recent decades. Initially there were no genetic services in the country until 1966 when a laboratory was established at KUL to study Down Syndrome. Since then genetic services have expanded, including undergraduate and medical training, genetic clinics in Kinshasa and Lubumbashi, a DNA extraction facility, and the creation of the Congolese Society for Human Genetics. Current activities include clinical genetics clinics, laboratory testing for conditions like sickle cell disease and albinism, regional networking of geneticists, and ongoing research projects. Genetics has grown to address the high needs in DR Congo, such as the prevalence of sickle cell disease.