The South Texas Physicians Outreach (STPO) organization makes at least one annual mission to Santa Rosa de Copan, Honduras to provide much needed medical and surgical care to the residents of western Honduras. The author was named the team photographer for both a trip in 1998 and a subsequent visit in 1999. In preparing for the 1999 trip, a plan to reduce the expenditure by STPO for photography support was put into motion. It was decided that digital photography would eliminate most of the cost for documentation of the team's activities in clinics, surgery, and human interest activities. This article provides a short history of the organization, a brief overview of the 1998 trip, and a discussion of the photographic aspects of the 1999 trip.