The medical mission took place in Esmeraldas, an area we have previously worked. The province lies along the northern border of the country with Colombia and level of inequality and poverty is staggering. Most children learn to live with congenital conditions and deformities because help and hope for a healthier future are simply too far out of reach. Of all the beautiful stories about changing lives and improving health, one story will remain with me for perpetuity. Carlos Ordoñez, a 17-year-old Esmeraldas native, had been given Cleft Palate repair surgery by Ecuadent as a young boy and brought the same stuffed animal we had given him from that year’s mission with him to triage day this year. He was so inspired by Ecuadent and the Ecuadorian navy that he aspires to join the navy this year and hopes to help on future missions. It is one of many stories where the treatment we provide transcends individual cases and the love and altruism will be passed on to future generations.