**Background:** During the colonial era and into the early 20th century, anatomy departments and museums globally collected Indigenous skeletal remains for racial typological science, often acquired unethically. In South Africa, San and Khoekhoe remains were particularly sought. The University of Cape Town (UCT) Human Skeletal Repository, established in 1913, was found in a 2017 audit to contain nine skeletons donated between 1925–1927 by medical student Carel Gert Coetzee, exhumed from a labourers' cemetery on his family farm Kruisrivier near Sutherland, Northern Cape. Eight individuals were known-in-life with recorded names. A moratorium was placed on access, and a restitution process initiated.
**Methods:** The restitution followed the Aitken community engagement model and Vermillion Accord, beginning with contacting families in Sutherland bearing the surnames Abraham and Stuurman. In October 2018, UCT met descendants and community leaders, issued an unreserved apology, and placed all decisions in the families' hands. The families requested comprehensive study before reburial. A multidisciplinary team conducted: archaeological survey of the farm cemetery; osteobiographic analysis (age, sex, stature, pathology, trauma); craniofacial CT-based reconstruction and depiction; ancient DNA (aDNA) analysis including mitochondrial and Y-chromosome haplogroups, kinship assessment, and population genetic comparisons; and stable isotope analysis (δ¹³C and δ¹⁵N) of serial dentine and bone samples. Informed consent was obtained from families, with ethics approval from UCT (HREC# 715/2017).
**Key Results:** The nine individuals comprised six males and three females. Ages-at-death ranged from 4–6 years (G!ae) to 50+ years (Voetje). Adult stature ranged from 1.38 m (Saartje) to 1.62 m (Cornelius). All adults showed signs of heavy physical labour (osteoarthritis, enthesopathy). Dental disease was prevalent: 83% (5/6) of adults with crania/mandibles had abscesses. Jannetje, Saartje, and Voetje had extensive dental abscessing likely contributing to death. Two children (G!ae, Saa) and two adults (Saartje, Cornelius) showed childhood stress markers (Harris lines, enamel hypoplasias). Four of five adult men had healed injuries; Klaas and Igue We had perimortem cranial trauma causing death. Jannetje had debilitating platybasia and basilar invagination. Squatting facets (indicating traditional resting posture) were found in four adults. Copper staining from ornaments was present on Cornelius, Jannetje, and Saartje. Radiocarbon dating of Igue We showed death ~709 ± 23 BP (approx. 700 years ago), contradicting the archival record of '40 years ago'. aDNA confirmed all individuals had San/Khoekhoe maternal (L0d lineages) and paternal (A0-T, A, E1b1a) haplogroups. Kinship analysis revealed a 2nd-degree relationship between Saartje and Klaas (half-siblings/double cousins) and a 3rd-degree relationship between Jannetje and both—contradicting the archival claim that Klaas and Saartje were husband and wife and parents of the children. Population genetic analyses showed greatest affinity with Kx'a- and Tuu-speaking Kalahari groups (Ju/'hoansi, Taa, ǂKhomani, Karretjie, /Gui, Naro) with no detectable European/Asian admixture. Ancestry modelling showed 11.2% East African pastoralist-related ancestry, comparable to other San groups. Stable isotope data revealed that Klaas spent early childhood (ages ~3–10) in a different, more summer-rainfall environment before being captured and brought to Kruisrivier, consistent with archival records. Other individuals showed isotopic consistency with lifelong residence near Sutherland.
**Clinical Implications:** While not a clinical study, this work has profound implications for medical ethics, the stewardship of human remains in anatomical collections, and the practice of biological anthropology. It demonstrates a model for community-centred restitution that prioritizes descendant family agency, informed consent, and interdisciplinary science. The process influenced the development of a national South African policy on restitution and repatriation of human remains. The findings highlight the long-term health impacts of forced labour, displacement, malnutrition, and violence on Indigenous populations, and underscore the importance of confronting historical injustices in medical and scientific institutions. The facial reconstructions served as a powerful tool for family reconnection and restoring personhood to individuals previously treated as specimens.