Each surgical subspecialty has unique sets of challenges when performing their specific procedures. In plastic surgery, procedures for complex burns, hand injuries, and congenital deformities can require tissue/skin graft preparation and microscopic reapproximation. These challenges are only exacerbated when resources are limited - both in terms of personnel and materials. Meet Dr. Metasebia Abebe, the first female plastic surgeon in Ethiopia and one of only a few specialists in her country where there are more than 1 million people per plastic surgeon! Join us as we discuss the complex care involved in treating hyena bites, the effects of climate change, and international fellowships for LMIC surgeons. This is one episode to remember!