This article investigates whether colonialism is alive in contemporary German development cooperation (GDC) on obstetric care in Tanzania. Drawing on archives and interviews, it compares present-day interventions to German policy in ‘German East Africa’ (GEA) at the beginning of the 20th century. It argues that contemporary development cooperation can be considered colonial to a certain extent in that it is marked by a combination of racialization, developmentalism and trusteeship. However, colonial power today is fractured as German development professionals’ accounts of their work display a considerable degree of hesitancy and doubt. This article contributes to the knowledge on colonialism and development by discerning colonial power in the under-researched case of GDC as well as in the context of concrete policy and practice in a particular field of intervention.