In March 2015, members of the Board of Trustees, donors and friends of MedShare traveled to Nicaragua to experience first-hand the impact of MedShare's work in the country. Since 2000, MedShare has shipped 24 forty-foot containers to Nicaragua and provisioned over 100 medical mission teams since 2008. This book aims to provide a comprehensive trip summary through excerpts from group reflections, specific stories of impact experienced, blog posts and photographs. This book is a reflection of the impact deeply felt by the group, the people we met and the stories we heard.