Dean McGee Eye Institute volunteer physicians and two PGY4 residents travel annually to China for educational purposes. The first visit in 2002 underscored that we could not possibly affect the hundreds of thousands of Chinese blind from cataracts by simply performing cataract surgery for one or two weeks per year. Prior to our involvement, the average time for a Chinese Ophthalmology Resident to be trained was up to 15 years compared to three years in the United States. Our goal is to educate the Chinese ophthalmologists to train their surgical residents more efficiently and in greater numbers. In addition to providing onsite education while in China, DMEI has been assisting the Chinese in developing a residency training experience that provides more hands-on direct patient care in a shorter time frame. The Sichuan Health Bureau has encouraged us to help the Provincial Hospital increase their number of cataract surgeons to aid in the treatment of 500,000 blind residents with treatable cataracts. With significant cultural differences in our educational systems it has been understood that developing relationships gradually, as well as setting realistic goals in partnership will result in sustained success over time.