Because Home of Hope do not have surgical services, yet sometimes receive children with cases that need surgery, the organization refer them to places which offer the service. Home of Hope thus offer a certain percentage of the total costs towards the surgery.
The cases handled under this include: Hydrocephalus, Spinal bifida, cleft pallets, club foots and other physical deformities. Sometimes referral is made for children needing a particular adaptive aid that cannot be easily got or made locally. Referrals are made by the Occupational therapist. On average the organization refers up to 8 clients in a month.