Dr. Raffy Karamanoukian regularly goes on medical missions to perform reconstructive surgery and venous surgery to those in need. He has traveled to Tijuana, Mexico, and has also gone to Armenia and the Karabakh Republic several times. He has also been an invited lecturer at the American University of Beirut. He has hosted surgeons from Armenia and Lebanon to train at Veins Los Angeles.
 
Dr Hratch Karmanoukian has performed congenital heart surgery in Guatemala and has donated laser devices for endovenous surgery to Armenia and the Nagorno Karabakh Republic. He has provided much needed vein surgery in Ecuador, Haiti, Dominican Republic, Vietnam, Poland, Nagorno Karabakh Republic, and Armenia. He has also hosted surgeons from Armenia and Ghana to train at his facility.

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