From February 1 through February 8, 2011, I had the privilege of providing vasectomy services at three sites in the Visayas region of the Philippines. The main site was Sacred Heart Hospital, which is the teaching hospital for Southwestern University Medical School. The mission was sponsored by No-Scalpel Vasectomy International, Inc. (NSVI) and supported in part by the Bisaya Medical Association. In eight days, 270 vasectomies were performed by 4 surgeons. As word and testimonials spread through local communities, enthusiasm increased, and 107 vasectomies were performed on the last day of the mission alone (Feb 8). These photos were taken after a busy afternoon on February 7. Beside me (above) and with the biggest smile of the group is Frohnie Cagalitan, MSW, our in-country mission coordinator. Beside her is Joseph Alesna, MD, our in-country vasectomist who provides vasectomies all year long, and in front of them are Bob Kiamco, Chairman of NSVI, and Ronald Suarez, MD.