Oral Surgery can be particularly challenging on the mission field. In addition to dealing with communication and language difficulties, there are cross-cultural issues and often the lack of x-rays, proper lighting, poor suction, the lack of a trained assistant and possibly the lack of some necessary equipment. Some teams have no dentist on board and many dentists do only limited oral surgery in their practices. How can we be prepared and what are some of the techniques that we can use that might be of help as we care for those who often have never seen a dentist before and are in pain or have been in pain. Releiving pain and infection and doing no harm is only one of the pressing issues when we are out of our comfort zone working in a small dark area where we could be injured and where the incidence of HIV may be quite high.