Over 200 needy Nigerians have received hip and knee replacements and bone fracture repairs through our medical missions. In addition, we donated a SIGN Fracture Care System to a university teaching hospital in Anambra State and trained local Nigerian surgeons on its use. They now repair serious bone fractures on a regular basis in a simple, inexpensive and sustainable way. In 2018, we extended our reach to laparoscopic surgery. We now perform minimally-invasive gallbladder, hernia and appendix surgeries on poor patients, train local surgeons, and donate specialized equipment and instruments.