Surgeons of Hope in New York has been successful in providing equipment for its new Pediatric Heart Clinic in Nicaragua. We were able to obtain excellent equipment from Project Cure in Denver Colorado and the AFYA Foundation in Yonkers New York. The secret was to have an accurate list of needs, if possible equipment models and serial numbers, and persistence. We also obtained OR instruments from Scanlan International in Minneapolis and a Cath Lab through Philips in the Netherlands. All of the equipment was donated with SOH having to pay only shipping costs.