On October 3, 2019, the Isla Medical Foundation (IMF) began its first official mission in General Luna on Siargao Island during the World Surf League’s Siargao International Surfing Cup. This region is under-served with medical care in all areas, but IMF chose to specialize the first mission in first aid and emergency medical response. The team joined the Bureau of Fire Protection (BFP), Island Doctors PH, Southern Philippines Medical Center (SPMC), and the General Luna Rural Health Unit (RHU) to provide emergency medical care to those who needed it during the International Surfing Cup. These medical sub-teams, along with the National Coast Guard, Philippine National Police (PNP), and Municipal Disaster Risk Reduction and Management Office (MDRRMO) came together to provide full support to the people at Cloud 9. The volunteers were welcomed by eager local teams who were interested in learning and sharing first aid techniques and providing the best care to all patients.