Heart surgery advancement represents the primary focus of CardioStart’s international work. For two-week periods, heart surgical teams, assembled by CardioStart, come from all over the world to assist in developing local heart centers in countries needing help. Advanced heart investigations and procedures are carried out, and intensive teaching and side-by-side demonstration are provided. All essential donated equipment is left in the country for the hospital to use for its own advancement, and the relationship continues over several years, where possible, to ensure future donations can be usefully added to the program as it expands. To provide a comprehensive platform for future growth, several peripheral cardiology clinics, and specific family and orphanage extended care projects, are carried out during the mission.