Nomadic plastic surgery: from healthcare huts to war-zones. Our experience over 30 years.

We present 30 years' experience of "nomadic" plastic surgery missions carried out by a small non-governmental organization, specialized in reconstructive surgery in challenging conditions in developing countries. Here, we provide a record of missions carried out between 1993 and 2023. The study shows how surgical missions are conducted and the methodology used. We carried out 70 missions, with more than 8,000 consultations, and operated on 3,780 patients. A quarter of operations concerned clefts, a quarter tumors, a quarter burns and a quarter various diseases such as Noma and, recently, traumatic lesions secondary to armed conflict. We show some adaptations such as autonomy during missions, adjustment of indications to this new environment and the integration of local traditions in our therapeutic action. We offer practical ideas about surgery and some reflections on the social concerns.