Innovations in information technology are not only changing the way people interact with each other but also reshaping how patients engage with medicine. Now an increasing number of people are able to access healthcare remotely from anywhere through these technologies. Individuals who require access to a distant specialist are able to connect with one through this medium. With a population of over 200 million served by about 45,000 doctors, Nigeria, Africa’s most populous country is faced with a challenge to meet the healthcare needs of its population. This study highlights the current state, unique challenges and future prospects for telemedicine in Nigeria.