This history, twenty years in the research and writing, relates the story of Americans living in Kuwait, beginning with the establishment of the American Mission Hospital in 1911. It covers the first century of community experience ending in 2011, which is also the fiftieth anniversary of Kuwait’s emergence as an independent state. The rich but largely unrecorded heritage of American missionaries, doctors and nurses, oil workers, diplomats, military personnel, and businessmen who have resided in the country is revealed, including the ways in which they influenced Kuwaiti society and were influenced by it. Wilson Nathaniel “Nat” Howell was an American diplomat and educator. He served as the United States Ambassador to Kuwait from 1987 to 1991.