The Department of Otolaryngology-Head and Neck Surgery has a long tradition of supporting medical mission trips, dating back to the 1990's when Dr. Larry Hoover first took residents to Nepal and Kyrgyzstan. The department continues to support resident participation. In 2004, the department co-founded the mission to Antigua, Guatemala; since then, the mission has become an annual tradition involving over 70 participants, and completing over 80 surgeries and 600 patient visits over the six days of the trip. The department aims for all willing residents to participate in a medical mission trip during the senior years of residency training, with the hope that they will continue to be involved after graduation. In the last year, residents have participated in missions to Uganda, India and the Philippines.