Thus, cardiovascular mission formats can be varied, providing preventive care, direct surgical treatment, the donation of supplies and equipment, and/or building a program for sustained training and clinical care. While each objective has value and is interrelated to some extent, every mission follows a different pathway and modus operandi[3]. We implore surgeons and organizations to craft their missions around this foundation: to train, empower, and support local clinicians toward the shared goal of a self-sustaining center for their community.