The appellant and respondent were divorced in 1974 after a 25-year marriage. The divorce settlement agreement, made an order of court, required the appellant to pay R400 monthly maintenance and to keep the respondent on his medical aid scheme or personally pay her reasonable medical, dental, hospital, and pharmaceutical expenses. The appellant remarried and the respondent was removed from his medical aid. The respondent joined her employer's medical aid in 1982. No claims were made against the appellant for medical expenses or increased maintenance until 1996, when the respondent underwent a triple-bypass heart operation incurring R78 088.68 in expenses, mostly covered by her medical aid apart from R2 945. The appellant refused to pay. The respondent issued a writ of execution, prompting the appellant to apply to set it aside and seek a declarator that the respondent had waived her rights. The respondent counter-applied for payment of R78 088.68, an increase in maintenance to R2 000 per month, and a contempt of court finding. The maintenance increase issue was referred to the magistrates' court; the waiver and contempt issues were dismissed. The court a quo (Gautschi AJ) found for the respondent on the medical expenses, holding that expenses covered by the medical aid did not lose their character as medical expenses, and granted judgment for R78 088.68.