The town of Kabala is found in Koinadugu, a large district bordering with Guinea in the northeast of Sierra Leone. Koinadugu was hit hard by the brutal rebel war yet is one of the most unassisted areas of the country. Working as an occupational therapist on the CAUSE/EED Rehabilitation and Social Reintegration of Women and Girls Project, my position required me first to identify and assess potential beneficiaries for the program, later creating a treatment plan for each woman or girl. During my time on the project, I found myself traveling by motorcycle from village to village searching for females who had paralysis from polio or had lost limbs to rebel soldiers. I found myself sitting in a mud hut, imagining how the home could be adapted to be more accessible for a girl with crutches. I found myself building and carrying a wheelchair for 3 miles to a woman who had never left the 10 meter radius of her grass lean-to. With minimal physical and financial resources, creative problem solving skills helped me serve the most marginalized members of Sierra Leone’s society. Before living in Sierra Leone, I always knew I had practical problem solving skills. Now, after 5 months of living in Kabala, I am proud to say that my skills are no longer just practical, but also creative.