SVI returned to Guaviare, Colombia under a partnership with the Colombian Government in the Department of Guaviare and the Prescribing Life Foundation. During this trip a surgical mission was accomplished to treat children and young adults with a varying array of congenital head and neck and urologic deformities. A remote pediatric clinic for the indigenous children was initiated to treat common infectious disease conditions. Additionally, hundreds of patients suffering from chronic pain disorders received targeted therapy. While in Guaviare, through collaborative efforts with our partners, a water well was completed for the Jiw, indigenous community.