On August 10, nurses nationwide initiated a nationwide strike with the goal of receiving better pay. This has affected the team's work significantly: the lack of local nurses in the operating room (OR) was yet another struggle that the Interplast team has had to cope with. Fortunately, later in the first week there was local support provided. It was given with enthusiasm. The Interplast coordinator in Puno, Ricardo Gutierrez, was instrumental to achieving this change.