A member from Delta, Canada was on a horseback tour near Puerto Natales in Chile when she fell from the horse and injured her right ankle. Her guides transported her to a local hospital, where imaging showed a compound fracture dislocation of the right ankle. The treating physician performed a closed reduction and advised that definitive surgical fixation should occur within several days. Because of limited orthopedic capability at the initial facility, the physician recommended transfer to a larger medical center in Punta Arenas for surgery. The member and her husband agreed, and after the receiving facility was vetted, a ground ambulance transfer was arranged and approved. At the referral center an external fixator was placed on her right ankle and the procedure went well. She was considered stable for onward transport, and her insurer began coordinating repatriation to her home region based on the final orthopedic recommendations. She expressed appreciation for the support and confirmed the operations team could disengage.