HUGS (Help Us Give Smiles) Foundation annual trip to Quito, Ecuador to participate in microtia and ear reconstruction care. During the week, the team of US-based surgeons, anesthesiologists, and surgical staff provided excellent surgical care to over 40 microtia patients. Ecuadorian surgical residents were thoroughly involved in teaching and learning and will continue to care for these patients. Medical records were kept via donated EnlightenMD software, an electronic data repository (MEEI proprietary software).