This chapter takes all that into account by considering the role of the practitioner of Tibetan medicine (amchi) in childbirth in two distinct settings of Ladakh, in north-western India. We will examine how birth occurred and how it was managed in the very isolated area of Shun Shade at the turn of the millennium and contrast this with material from the urban milieu in Leh, the capital city of the region. This comparison will allow us to explore the amchi’s position on the margins in both territorial/political and medical terms.