Medical missionaries from Western industrialized nations frequently encounter ethically disturbing situations when providing care in the developing world. This may be due to generally-recognized ethical principles being largely influenced by Western realities, beliefs and values. Individuals in resource-limited settings may have very different views on the risks and benefits of medical care, widely disparate access to reliable treatment, and decision-making that emphasizes honoring the opinions of the group over those of the individual. After briefly reviewing some basic tenets of medical ethics, this session will work through a number of actual cases with the goal of finding potential ways forward in each.