In October 2017 families traveled many hours to the Hospital Leon Becerra in Guayaquil and waited in long lines to have their child seen by the orthopedic medical team. The team screened 149 children and was able to treat sixty-three patients for significant congenital orthopedic impairments. The surgeons on the trip included Dr. Douglas Avella, Dr. Brian Shaw, and Dr. Edward Nieuwenhuis. “This is work that desperately needs to be done and we are able to do it. It is practicing medicine in its purest form,” said Dr. Shaw. The surgeons were assisted by anesthesiologists, a pediatrician, nurses, and laypersons. “Being part of this mission was a chance to partake in the making of miracles. Every member of our team worked tirelessly and was delighted to see many children depart with the ability to lead more normal and productive lives,” said Rosemarie Gelber, the Trip Administrator.