In 2007, when MSF began providing fistula care, teams carried out 195 operations. By 2011, the number had risen to 1,036, or almost seven percent of the repairs reported worldwide. In 2013, MSF provided 1,032 fistula repair surgeries. It’s been heartening to be able to help more women, but we’re always mindful of the fact that this is only a fraction of the new cases that develop each year.