It began with 1 day of triage, where in excess of 150 patients were evaluated for surgery. This was followed by 6 busy days of non-stop operating; from Advaith sweating in the minor procedures room to Dr. Potian doing spinal anesthesia with swift efficiency. The surgeons performed a vast array of operations: radical neck dissection, thyroidectomy, splenectomy, radical hysterectomies...even squeezed in a plastics case at the end. Our circulating nurses would always tell us that an instrument was not available when asked for, but would make it happen within 5 minutes. The ISHI team has been phenomenal and each member has been vital in pulling it together and making it happen. Tomorrow morning we go into the hospital for the last time and should be discharging the last of our patients. It all came together for me yesterday. We went on a river boat cruise and as we meandered along we viewed shacks spattered along the banks; simple wooden houses with simple people in them waving at us as we went by. These are the people who have been helped but have no resources to have had it done otherwise.