A very cohesive, fun-loving medical team made their way to San Jose in October 2010. Other than lots of rain, several relatively short bouts of “tourista,” & the usual multiple bot flies and machete wounds, the group cam through unscathed and very appreciative of the experience. Several meetings and initiatives were instituted, and/or continued with the local health committee. The Child Health Initiative screened > 400 children in surrounding villages. The Water Filter Project continues to flourish with approximately 100 new filters distributed to some of the more remote villages. A newly developed Women’s Health Initiative to increase, and teach, cervical cancer screening was instituted and very well-received. The feeding program continues to thrive, providing necessary nutrition for the young and elderly, while boosting the local economy. Future projects include further expansion of the midwife education project: expanding the focus of the clinic to include education and prevention; a domestic violence reduction program; & stress management.