Mercy Myles is out of Ghana's group D clash against Switzerland at the FIFA U-20 Women's World Cup 2010 after she was passed unfit.
The Black Princesses captain has struggled with poor health since the start of the competition in Germany and has never finished the full course of the two previous matches.
Myles' unavailability means team coach Kuuku Dadzie would have to shuffle his pack for the must-win tie against Switzerland in Bochum.
The captain's absence is expected to be the only change in Ghana's starting lineup for today's game.
Ghana must win big against bottom side Switzerland in Bochum and hope that the USA lose against Korea Republic if they are to stand any chance of reaching the quarter-finals.
Line up : Patricia Mantey, Mantenn Kobblah, Edem Atovor, Rosemary Ampem, Janet Egyir, Juliet Acheampong, Elizabeth Addo, Elizabeth Cudjoe, Deborah Afriyie, Florence Dadson, Janet Owusu.