Houston Shoulder to Shoulder Foundation was founded in 2003. Since that time we have been providing primary health care services in the area of Santa Ana, Intibuca, Honduras. In 2014 we built a permanent clinic and employ a full time staff of Honduran medical professionals. Over the last decade we have added dental care, a pharmacy, and laboratory services to the clinic, and have begun to see optometry patients during our medical brigades. In 2024 we have begun a surgical initiative to start offering specialty and surgical procedures to the community that has previously only been able to access these services by a 4-6 hour car drive.