While "Medical Surplus Recovery" is a fairly new term in Catholic health care ministry, there is no doubt that it is a practice used since the founding of Catholic health care. Sisters and brothers made due with the limited resources provided by their religious orders/communities, industries and physicians, etc., to serve the sick and poor. Today, there is a major change in providing unused or surplus items to those in the developing world: the intermediary organizations that collect and disperse surplus materials are called Medical Surplus Recovery Organizations or MSROs. Sometimes they are a part of the health system, and other times they are not-for-profit partners of our hospitals and systems, but regardless, we must make sure that our mission is being actualized by the operations of the MSRO.