The team of eight led by Dr. Rob Ross and Dr. Daniel Turner had a head start on evaluating patients this year because of a detailed PowerPoint presentation provided by the CEDIMAT Hospital in Santo Domingo prior to the team’s arrival which facilitated in the screening of the children. The team was able to view information on each patient, including their medical history, EKG, echo cardiograms, and recent cath reports. This year the surgeries were more complicated than in the past and nine cardiac surgeries were performed over five days. There continues to be improvement in all aspects from the CEDIMAT Hospital team as training continues. Also, twenty other complicated cases were reviewed with a concentration on teaching and therapeutic options.