The Lyndon Baines Johnson (LBJ) Tropical Medical Center opened on June 6, 1968.

The opening staff consisted of 300 locals and a small cadre of stateside professionals.

Women's Auxiliary later emerged and provided equipment and other forms of assistance to medical and nursing staff.

Director of Health Dr. Nofo Siliga claimed the revenues were needed in order to pay for improvements, purchase better equipment, and hire more physicians.

American Samoans were living longer than ever before, premature deaths were lower, and there was a significant reduction in the incidence of several important preventable diseases.

[10] In 2013, the LDS Church donated a digital mammography and biopsy machine to the hospital.

[12] In October 2019, the hospital performed its first knee replacement surgery with help from the Church of Latter Day Saints (LDS), which contributed specialized equipment valued at around $800,000 USD and provided training for local doctors.