Today was the first day of surgeries and it is my first time “awake” in an operating room. I am impressed by the hard work everybody has to put in and the teamwork involved. Anesthesiologists, surgeons and insanely busy OR nurses all do their best. Some of these surgeries go on for hours. Dr. Jorge Terraza, our host in La Paz, is very involved with the team. Local residents are there to assist, as are local nurses. It is clear that the training mission of Interplast is an important component of the team’s visit in La Paz. The effort is amazing. Days are long, people are tired, but nobody complains.