The University of Cape Town (UCT) Human Skeletal Repository began in 1913 and its composition a century later reflects the history of biological anthropology at the University, in South Africa and internationally. It consists of 1059 skeletons from archaeological (472; 44%), cadaveric (372; 36%) and forensic contexts (160; 14%). They are used for educational and research purposes to provide engaged scholarship and experiential learning for undergraduate and postgraduate students from a variety of disciplines including health professionals. The cadaveric remains help build population specific standards, forensic cases assist to address social and criminal justice, and the archaeological discoveries to preserve African culture and heritage. Overall, the repository provides a distinct contribution to knowledge locally and globally. The new management approach of the repository is presented. Ethical considerations and management policies are discussed. Stewardship of these individuals is facing several challenges and there are areas that continue to require attention. UCT is committed to address past unethical procurement of remains through engaging with the relevant interested and affected parties in restitution and repatriation.