Consult Online is a Dutch telemedicine system for physicians who work in international healthcare and tropical medicine (formerly known as 'tropical doctors'). It provides specialist advice for complicated cases where local specialist services are lacking. Eighty-nine experts from 25 different specialties are available for advice via www.troie.nl/consult-online. Most of these experts have worked in low resource settings for years before becoming specialists in other disciplines. Since its inception in 2008, Consult Online has received 639 consultations from 41 different countries. On average, a consultation resulted in 2.3 reactions. Consult Online is not the only telemedicine service for low resource settings, but it offers Dutch physicians the unique opportunity to liaise with specialists from their home country, who understand their background, training and limitations. A decade later, it continues to be available to anyone in need of tailor-made specialist advice for patients in low resource settings.