In this episode, I talk with Rick Gardner, a pediatric orthopedic surgeon at SickKids in Toronto. Gardner's rich experience spans various countries, notably with Cure International in Africa, providing surgical care and support to children in underserved communities. We explore our similar motivations for pursuing medicine and commitment to pediatric care, discussing topics such as effective altruism, the importance of scalability and sustainability, and the role of collaboration with local providers, governments, and NGOs. Additionally, we cover the empowerment of local healthcare professionals through training and education, the significance of conducting research with shared resources, and examine the potential for global impact through future collaborations and partnerships in pediatric orthopedic care.