As a RN interested in global health, I was very excited to read this book. I read “when helping hurts” last year & found it to be a great resource, digestible and applicable. This book was much more dry and formulaic- it read more as an essay than a book. It was intensely research heavy, making it a great resource for anyone actively planning a short term medical missions trip, but contained much more information than needed for someone simply interested in the potential dangers and downfalls of short term trips. The first two chapters and the last chapter is all someone in the latter position truly needs to read. The compilation of resources was impressive and could be a very valuable resource to a planning committee. Overall I agreed with all of their emphasis on patient safety and their evidence-based methods on how to prevent adverse outcomes. Also really appreciated that it pointed out how paternalistic in nature these programs can be, and the need to avoid letting these trips become more about the volunteers than what the community actually needs.