The flight to Honduras is, as always, a small trip around the world with a high-security checkpoint in the United States, but it is definitely worth the effort. In San Pedro Sula we are warmly welcomed and expected by our friends in Honduras. Also this year, Dr. Juan Craniotis, the head of the “Fundación MAR” association at the “Ruth Paz” hospital, for the 3rd Brigade for the treatment of anorectal malformations 45 children on the tight calendar of operations planned for the coming week. The hospital is run by the “Fundación Ruth Paz” and Juan, as medical director and practicing pediatric surgeon, is particularly concerned with the well-being of children with anorectal malformations. Together with his pediatric surgeon colleague Dr. Elmer Herrera, everything was perfectly organized in advance and coordinated with our team. This year our team consists of Dr. Carlos Reck, who is currently completing his fellowship for colorectal surgery with Dr. Marc Levitt graduated, Dr. Renate Fartacek and Dr. Wilfried Krois, both from the Vienna General Hospital. This year we were able to support Dr. Christoph Arneitz from Pediatric Surgery in Klagenfurt and Alex Dingemans, a student from Utrecht, Netherlands. Christoph was able to organize important medical products in advance, for example a children's cystoscope, which was kindly donated by the Storz company, as well as numerous sutures from the Covidien company. Alex is currently doing a semester abroad at the Nationwides Children's Hospital in Ohio and was highly motivated to help us with the documentation and evaluation. This year we asked ourselves some scientific questions in advance about the diseases in the developing country Honduras and created questionnaires. We hope to be able to research the social problems surrounding the clinical picture and the need for assistance in the form of brigades in poorer countries. The local student Pastora was able to provide us with valuable help with the translation into Spanish.