We were excited to head back to Zanzibar for our second hands on training with our partners at Mnazi Mmoja Hospital in Stone Town. This government hospital is the major referral center for the entire Zanzibar archipelago. Dr. Kaveh Alizadeh operated with the wonderful surgical team at the hospital helping to refine skills learned on previous trips. We also followed up with several patients from our first visit in Dec 2015 to ensure their recovery was on track. Our summer research team had the opportunity to conduct interviews with several patients to gain a deeper knowledge of the challenges they faced to receiving surgical care. As we listen and learn about local needs, we continue to refine our surgical training programs to ensure we are finding the most effective and sustainable ways to strengthen surgical care for the patients of Zanzibar.