The Foot and Ankle Association, Inc. (now known as Steps2Walk) was developed and incorporated in 1999 by Dr. Mark Myerson as a response to the ongoing need for education and training of international foot and ankle surgeons who had little access to ongoing and advanced training in this specialty. The primary goal of the Association at that time and over the ensuing 15 years was to increase the knowledge and skills of international orthopedic surgeons who visited Dr. Myerson for further training. Simultaneously, although Dr. Myerson participated in various humanitarian programs abroad, performing surgery and teaching, these site visits were performed annually and not on any continuous basis. The emphasis of the Association at its inception was therefore education of international orthopedic surgeons. In 2018, Steps2Walk will be holding humanitarian programs in Argentina, Chile, Kenya and South Africa and have plans to expand to Thailand, Tanzania, and Mexico in late 2018 and 2019. In each of these countries, we typically hold three similar programs annually to provide both continuity of care as well as sustainability of our vision for orthopedic education and surgical treatment of patients with disabilities. Effective communication with the local and regional orthopedic surgeons is essential.Each program, regardless of country, is similar; the program is limited to a small group of surgeons and is organized as a mini fellowship experience for the 8-15 surgeons who attend the meeting. The programs are quite intense, we are working long hours every day, there is a team leader and three additional international volunteer surgeons present at each program site. When we finish, all those receiving care will be taking steps2walk again. Learn more at steps2walk.com.