Mission & Vision

Fresh Start Children’s Charity Mission

As a top organization that helps children, Fresh Start Surgical Gifts transforms the lives of disadvantaged infants, children, and teens with physical deformities caused by birth, accidents, abuse, or disease through the gift of reconstructive surgery and related healthcare services.

Our Vision

Fresh Start’s vision is to build a community of volunteers committed to seeing that every child with a physical deformity is given the opportunity to have a positive self-image, thereby enriching the lives of both the receiver and giver.

Our Commitment

Fresh Start commits to long-term, comprehensive restorative surgery and care with every single one of our children. To help accomplish that goal of transforming lives of children, we host six Surgery Weekends annually where volunteer medical professionals transform the lives of children with deformities through reconstructive surgery. Dental Clinics serve children requiring more complex dental procedures outside the scope of a Surgery Weekend. Dental Clinics are held 13-14 times annually and serve 15-30 children at each Clinic with services ranging from restorative and orthodontic work done for children with cleft lip or palate to fillings and more basic care.


Fresh Start’s founder, the late Dr. Dennis Nigro, a renowned San Diego plastic surgeon, traveled to remote areas to provide reconstructive surgeries at the beginning of his career. While abroad, he witnessed sub-optimal operating rooms and procedures, so in the late 1980’s he began to bring children with physical deformities from around the world and the local community to his own office in San Diego to receive a higher level of long-term care. Dr. Nigro recognized that there was a whole population of people, especially children, who suffered from correctable conditions but could not afford the medical attention they needed.

In 1991, Dr. Nigro founded and incorporated Fresh Start Surgical Gifts – a non profit organization providing charity surgery for children – with the majority of care still provided within his own office but with more of a focus on local, San Diego children. In 2001, Fresh Start received a large gift in support of its mission – from this, we established a separate Foundation, the Fresh Start Surgical Gifts Foundation, that provides at least 4% of its invested funds each year to support overhead and administrative costs, allowing 100% of every donation to be designated towards the Medical Program and enabling Fresh Start to become a sustainable organization. After the large donation in 2001, Fresh Start began to expand, and, in 2009, opened the Fresh Start Clinic at Rady Children’s Hospital in San Diego, which allowed us to treat complex conditions, provide care more frequently, and reduce high rental costs for operating room space.

Most recently, in 2010, Fresh Start began a brand new collaboration with the Plastic Surgery Foundation to expand Fresh Start nationally. Since its inception in February, 2014, Fresh Start Caring for Kids Foundations has successfully hosted numerous Surgery Weekends at the University of Chicago Medical Center. The gradual expansion of Fresh Start nationwide has allowed Fresh Start to focus more of our resources and time on our local patient base within San Diego and Imperial Counties. Over the coming years, Fresh Start’s goal is to dramatically increase our local patient base within San Diego and the surrounding areas, as the new branches begin to accept more international and national cases within their own communities.

Since Fresh Start’s inception, over 7,900 children have received no-cost charity surgery & medical care valued at over $42,000,000 and Fresh Start’s volunteer base is about 500 annually. Check out some patient highlights and reconstructive surgery stories.


In 1992, Fresh Start was recognized as a “Point of Light” by President Bush and President Clinton presented Fresh Start with the Volunteer Action Award in 1993. More recently, in 2009, Fresh Start was a San Diego Business Journal (SDBJ) Healthcare Champion honoree and opened the Fresh Start Clinic at Rady Children’s Hospital in San Diego. In 2011, as one of the top children’s nonprofit organizations, Fresh Start was named Best Local Nonprofit by Ranch and Coast Magazine, was nominated for a Classy Award for Best Charity of the Year, and was Healthcare Champion by SDBJ. In 2012 Shari Brasher, Fresh Start’s CEO and Executive Director, was a finalist for the World of Children Health Award and for the SDBJ Most Admired CEO Award. Fresh Start also maintains a record of financial stability and accountability – in 2008, Fresh Start was the only nonprofit to receive the Better Business Bureau’s Torch Award for Excellence in Marketplace Ethics and Fresh Start also meets the 20 Standards for Charity Accountability, as decided by the BBB. Most recently, Fresh Start received the Community Partnership Award presented by Mutual of America. Today, thanks to the Fresh Start Surgical Gifts foundation which was started in 2006, 100% of contributions go directly to medical programs.


Surgery Weekends

  • January 22nd & 23rd, 2022
  • March 12th & 13th, 2022
  • May 14th & 15th, 2022
  • July 16th & 17th, 2022
  • September 10th & 11th, 2022
  • November 5th & 6th, 2022


  • January 7th (Yoshikane)
  • January 28th (Bartsch)
  • February 4th (Kohani)
  • March 4th (Bartsch)
  • March 18th(Yoshikane)
  • April 29th (Bartsch)
  • May 6th (Godes)
  • May 20th (Yoshikane)
  • May 20th (Kohani)
  • August 19th (Godes)
  • August 26th (Kohani)
  • September 16th (Yoshikane)
  • September 30th (Bartsch)
  • October 28th (Bartsch)
  • November 11th (Yoshikane)
  • November 18th (Kohani)

Medical Program Committee Dates

  • February 10, 2022
  • April 7, 2022
  • June 9, 2022
  • August 11, 2022
  • October 6, 2022
  • December 8, 2022


*MPC meetings are on Thursdays from 7am-9am. ALL meetings are now held at AMN Healthcare. Reminders will be sent prior to each meeting.


Our Medical Program consists of the Surgery Weekend Program, Dental Clinics & Support Services.

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