Many children and even a few adults with congenital heart defects were evaluated during the second medical mission to Nizhny Novgorod, Russia. The mission took place from June 7th through June 20th, during which thirteen life-saving open heart surgeries were performed. The nine member international medical team worked very closely with the local team to diagnose, operate on, and care for children with extremely complex heart defects. The Nizhny Novgorod Cardiac Center administration and staff are pleased with the progress of the missions. Since the last mission in December, pediatric cardiac surgeons at the center have been able to successfully perform four surgeries to correct transposition of the great arteries with a zero percent mortality rate. Prior to the missions, the mortality rate for these operations was extremely high. Over time, the center hopes to be able to expand its services to an additional 150 children per year.