BSSH has been supporting members to perform voluntary work overseas since 2010. From modest beginnings responding to an invitation to lead surgical mission to Holy Spirit Hospital in Makeni, Sierra Leone the work has steadily grown so that in 2019 we have educational projects in 10 low to middle income countries (LMICs). Providing hand surgery education to surgeons and their teams in LMICs is an excellent use of BSSH members skills, knowledge and commitment to hand surgery. It is in keeping with the objects of the society to further the development of hand surgery by education and research.