Don & Patti NicholsMission Work & Ministry
Heavy-duty ministry trunks on the move in the Dominican Republic, packed with donated supplies

Packing guide

What to Pack for a Medical Mission Trip: The Trunk System

How Don Nichols packs a medical mission: fifty-pound trunks, item-by-item inventory sheets, Spanish translations, and customs letters. Real weights, real costs, and a printable inventory sheet.

Most packing lists for a mission trip are about your suitcase. This one is about the trunks — because on a medical mission the supplies you carry are the mission, and getting several hundred pounds of donated goods through an airline and a customs office is a ministry in itself.

Everything below is how Don and Patti Nichols actually do it, taken from what Don has published about the preparation behind every trip. Where this page offers general advice that is not his, it says so.

Start with the trunk, not the suitcase

Everything the mission gives away travels in heavy-duty trunks. Each one costs about $25 and carries roughly fifty pounds of supplies packed to a written inventory. A trunk makes more than one trip.

On our most recent trip, the team traveled with nine trunks, each weighing around fifty pounds — nearly 450 pounds of ministry supplies moving through airports, airline check-in, and Belize customs to reach remote villages.

What rides in the trunks

Each trunk contains supplies designated for specific ministries, including:

  • Medical clinic supplies
  • New Testaments
  • Reading glasses
  • Hygiene kits
  • Gospel literature
  • Gifts for village pastors and their wives
  • Children's items
  • Evangelism materials

Every trunk carries its own paperwork

All of this will be GIVEN FREE OF CHARGE.
printed on every trunk inventory sheet that travels with the team into Belize

Every trunk carries numbered identification, owner information, a full inventory sheet, a Spanish translation, and a customs explanation — so officials know exactly what is inside and exactly why it is coming.

The inventory sheets do not say vague things like “medical supplies.” They list it out: New Testaments, reading glasses, sewing kits, hygiene supplies — item by item. Every item has been donated through the generosity of faithful supporters, nothing is for sale, and everything is given to villagers completely free.

Sort before you pack

Every trunk is packed by hand. Every supply is counted. Every Bible is purchased through donations. Every hygiene kit is assembled one item at a time. Every pair of reading glasses is sorted by prescription. Every document is translated. Every customs form is prepared. Every trunk is inventoried.

What it costs to move it

Transporting these supplies is a ministry in itself. Every item must be purchased, sorted, packed, weighed, checked through the airline, transported internationally, cleared through Belize customs, and delivered to remote villages.

On Don's published budget, moving the supplies costs $1,725: eight trunks at about $25 each, six additional trunk baggage fees at about $200 each, customs fees of about $75 based on the most recent trip, and a $250 emergency contingency fund. That is more than a good deal of the supplies themselves — and it is the line most published budgets leave out.

  • Eight heavy-duty ministry trunks (~$25 each) — $200
  • Six additional trunk baggage fees (~$200 each) — $1,200
  • Customs fees (based on our most recent trip) — $75
  • Emergency contingency fund — $250

A general timeline for your own team

Step by step

  1. 1

    Purchase and sort the supplies

    Months before departure, purchase donated items in bulk and sort them by ministry: clinic supplies, New Testaments, reading glasses sorted by prescription, hygiene kits, Gospel literature, gifts for pastors, children's items, and evangelism materials.

  2. 2

    Assemble and count everything

    Assemble hygiene kits one item at a time. Count every Bible, every pair of glasses, every kit. The count is what goes on the inventory sheet.

  3. 3

    Pack each trunk to about fifty pounds

    Pack by hand into heavy-duty trunks, each holding around fifty pounds of supplies designated for specific ministries.

  4. 4

    Number the trunk and add owner information

    Every trunk carries numbered identification and owner information so it can be matched to its paperwork at check-in and at customs.

  5. 5

    Write the inventory sheet, item by item

    List the contents specifically — New Testaments, reading glasses, sewing kits, hygiene supplies — never a vague line like 'medical supplies'. State that nothing is for sale and everything is given free.

  6. 6

    Translate and add the customs explanation

    Include a Spanish translation of the inventory and a customs explanation so officials know exactly what is inside and why it is coming.

  7. 7

    Weigh, check in, and clear customs

    Weigh each trunk, check it through the airline as baggage, and carry the paperwork through customs to the villages.

Heavy-duty ministry trunks on the move in the Dominican Republic, packed with donated supplies
Trunks on the move — Dominican Republic

Questions people ask

How much does a mission trunk weigh?
Around fifty pounds each. On the Nichols' most recent trip the team traveled with nine trunks — nearly 450 pounds of ministry supplies.
What paperwork does each trunk need?
Numbered identification, owner information, a full item-by-item inventory sheet, a Spanish translation, and a customs explanation stating that nothing is for sale and everything is given free.
How much does it cost to fly a trunk of supplies?
About $200 per trunk in airline baggage fees, plus about $25 for the trunk itself. Customs fees on the most recent trip were about $75 for the whole team.
Can I sponsor a trunk instead of packing one?
Yes. $25 buys a trunk and $200 flies one. Both are on the Fill the Trunks page, and every item inside is handed to someone free of charge.

Everything on this page is given away free in Belize.

Somebody back home pays for it first. If this guide was useful, that is how you stand in it.

Fill the Trunks

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All guides and tools live on the Resources page. Every fact about the mission on them comes from what Don has published at www.donandpatti.com.