When a large-scale disaster strikes, help from around the world often arrives in droves. Such was the case with the catastrophic earthquake that struck Haiti in January 2010. While O&P nongovernmental organizations (NGOs) had already been working in-country, efforts were amplified. The need for O&P care at such times is urgent. But, the need for O&P care in less-resourced countries is always prevalent, if not urgent. Fortunately, multiple O&P NGOs-room doesn’t permit us to mention them all-have found niches in which to operate and provide continuity of care. Their work underscores the importance of building relationships with in-country healthcare providers and governments.