In 2011, IOWD developed a pediatric surgery program, with a special emphasis in urology, in response to the number of children needing surgery who presented with their mothers for screening at Kibagabaga District Hospital. As demand for complex reconstructive cases increased, IOWD obtained additional operating room time slots and subsequently moved pediatric urology cases to two nearby facilities also located in Kigali: the Rwanda Military Hospital, Kanombe and King Faisal Hospital. The program has gradually expanded and offers a wonderful opportunity for pediatric reconstructive surgeons to make a lasting difference in patients’ lives. Our pediatric urologists work with the two trained urologists in Rwanda and teach technique to surgical residents, including two who are currently completing their training in urology. The three missions each year open availability for pediatric urologists. Rwandan patients, urology staff and residents await your participation.