The fifth medical mission to Voronezh took place from September 12th through September 26th 2015. Sixteen children were operated. William Novick Global Cardiac Alliance staff William Novick, Pavel Shauchenka, Eugene Suslin, Sergey Liauchonak, Stacey Marr, and Karen Bowtell were accompanied by 7 other volunteers including volunteer Cardiologist Dr. Robert Arnold, making a total team size of 13. Sixteen operations were completed and fourteen children’s lives were saved. Many, many more children were evaluated. Of the sixteen operations, most were lead and performed by the local surgical team. This critical component of the medical missions – enabling and educating to support and build on existing independent practice – continues to progress. On each successive visit, the complexity of the operations that local teams are able to lead increases.