I just got back from spending ten days in Ecuador. I was a visiting Educator with Resurge( formerly known as Interplast). This was my fifth trip to Ecuador and my third as a visiting educator. Most medical missions that I have been on we are just trying to get as much surgery done as well and safely as we can in our limited time. A visiting educator trip is different – on these trips we are trying to teach local doctors to improve their techniques and help improve through our training the outcomes of many surgeries after we leave. It is exactly like the old adage – give a man a fish and your feed him for a day, teach a man to fish and you feed him for a lifetime! I always get so much more out of these trips than I give – we are so lucky in this country with all that we have . I am very gratefull that I have the opportunity to give back in even a small way.