Following the RCT in Nigeria and Kenya, Group Antenatal Care (GANG) has been proven as a transformative model of care that provides a positive pregnancy experience. However, very few LMIC are implementing GANG at scale. TAConnect, with funding from BMGF is currently supporting 7 states in Nigeria to adapt, adopt, implement, and sustain G-ANC as an alternative model for ANC service delivery. This poster highlights the approach, adaptations, and results from the scale up implementation.