A 42-year-old member from Canada dislocated his right ankle and experienced acute mountain sickness while at Barranco Camp on Mount Kilimanjaro. Despite reduction of the dislocation in the field, severe pain and swelling persisted. He was evacuated by helicopter and diagnosed with a bimalleolar fracture requiring surgery. Global Rescue upgraded his return itinerary to accommodate mobility limitations. He arrived home safely in Edmonton and expressed gratitude for the assistance.