With great joy our team returned to Papua New Guinea to assist the Nazarene Hospital in Kudjip treating complex pediatric surgery conditions. This endeavor was again supported by the great generosity of World Medical Missions. In collaboration with the local surgeons our team performed complex anorectal malformation repairs and neonatal cases. We continue to support the surgical team at the Nazarene Hospital and have scheduled a routine return 3 times per year in addition to establishing a trainee fellowship that will support aa surgical resident/fellow spend up to 3 month in Papua New Guinea.