To change the healthcare of a nation by People helping People


“ My life was enhanced forever when I had the opportunity to 'pay it forward'. The people of Nicaragua are so friendly, gracious, and appreciative. I just always wish I could do more. Personally, I have gotten back much more from volunteering with COAN than I ever put in!"


Nan S.

COAN Volunteer

"Thanks COAN for all your support. I finished my residency in March 2014, since my first year of residence I appreciate all your help for our patients, all your learning for us in the class and the operating room. THANKS to support our trip to participate in the conference SIGN in 2013, it was THE FIRST TIME and was an opportunity to expose the work in our hospital and opened the door to participate each year in this conference. THANKS ONE MORE TIME."

Eduardo A.

Rosales Resident

Upcoming Trips

January 2020 

A great trip with many successful surgeries and daily lectures to the residents. 

Our Mission

Cooperación Ortopédica
Americano Nicaragüense

The Lives We Impact


April 18th - April 25th


January 16th - 23rd  

COAN has continued to grow and thrive with the continuous help from doctors, nurses, therapists, volunteers, friends and family. 2020 is the 20th anniversary of the first trip that led to the creation of this wonderful organization!

We can’t wait to share with you all that has happened and all that we hope to accomplish in the future! We appreciate your support as we try to make a difference for the

people of Nicaragua.