The goal of this study was to gather Nicaraguan perspectives on the work of foreign humanitarian healthcare missions working in their communities. More specifically, this research set out to provide organisations and volunteers supporting foreign medical missions in Nicaragua with feedback on the performance of their organisations from the perspective of local ‘beneficiary’ community members, as a means of contributing to reflection and quality improvement in Nicaraguan-directed but also other trans-national medical care. This research, led by anthropologist and healthcare ethics researcher Elysée Nouvet, was supported by the Canadian Institute for Health Research (CIHR) and McMaster University Health Sciences post-doctoral fellowships.