Our Missions

During our missions, we work with local leadership and medical professionals to not only transform our patients’ lives, but also use our time as an opportunity to help train their providers, so that they can be empowered and become more self-sustaining.

We value our relationships and believe working together, hand in hand, creates a solid model for a lasting impact not only for their patients, but also their economy.
Treating those in need, whether it is a hand abnormality, or a burn scar so thick that the limb is immobilized, or a cleft lip and palate, improves the patient’s quality of health and enables them to be productive, contributing members of their communities.

Fun Fact!

In the years 1996 – 2011, we treated 102 children with cleft lip and palate. Helping those patients prevents somewhere between 400 – 1000 total years of disability for a local community. And that, in turn, generates between $4.7 – $27.5 million dollars in economic impact!
The number is likely closer to the $27 million estimate. That means that each surgical week Hands Across the World is in Ecuador, that generates about $1.7 million.

View Patient Stories

These are all reasons why we continue to do what we do.
It shows what we can do to help the lives of others.
In some cases, it gives patients a second chance in life!


The dropdowns below provide the annual summaries written by our co-founder, Dr. Rick Silverman, regarding trip experiences. Additionally, there is a link to a paper published in the American Society of Plastic Surgeons’ Plastic and Reconstructive Surgery journal, which was written by several HAW Board members.