William is a 15 year-old patient who was tragically burned in July 2005 by a high voltage wire in his high school. There were significant burns to his dominant hand and foot. In Puno, clinical decisions are difficult because of the severity of the injuries, hospital conditions, family expectations and the complexity of the ideal operation. Arrangements for further care were achieved with assistance from team members Zulema Tomas, Percy Rossell, Josh Korman and colleagues in Lima, Peru. We wish William well.