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This article shares the perspective and experience of an early career pediatric orthopaedic surgeon at a mission hospital in Kenya, where she spent nearly her first three years in practice. She shares the reasoning behind her decision to engage in full-time global orthopaedics work as well as some of the logistical aspects of planning for the transition to international practice. Trauma, osteomyelitis, and COVID-19 are focal points of sharing her experience. The role of historical social and political injustice and its contribution to local and global health inequity is explored, emphasizing the importance of simultaneously pursuing global and local health justice.