Arising at 3:30 am to catch a 6:00 flight through Atlanta, I was grateful for the extra hour ending daylight savings time. The team met in Atlanta for the 3 hour flight to Honduras. Without unpacking, we had 15 minutes to refresh at the Minister Business Hotel before we went to the hospital to meet our patients for the week. The clinic was divided into 3 rooms focused primarily on ears, nose and plastics. I am primarily assigned to the plastic surgery residents, teaching congenital deformities such as cleft lip, cleft palate, and microtia (congenitally absent ears). Chris Perry is teaching rhinoplasties all week – both cosmetic and functional, assisted by the enthusiastic residents of both ENT and plastic surgery. My roommate Paul Juengel is performing most of the sinus endoscopies and head and neck tumors. Ray Komray, who retired professionally last week, is performing the middle ear work. We finished late, had dinner at the hotel restaurant and unpacked for bed.