The essence of change begins with individuals and groups who will no longer tolerate the status quo. Tamara Dudley's article documents her research data on sexual violence along the Sea to Sky Highway, which extends from Vancouver, BC, to just north of Whistler, BC. The article demonstrates that access to timely care in regards to sexual violence is not equal in all parts of Canada. Urban centres are more likely able to provide the medical and/or forensic care depending on the patient's wishes than non-urban or rural communities. Tamara describes how one community (Squamish, BC) decided to gain access to the care needed by those who have been sexually assaulted in their community. It has taken many dedicated individuals and groups to accomplish a healthcare response to sexual violence, so that care can be provided within the health framework of the community itself. This process brings to mind Margaret Mead's quote: "Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it is the only thing that ever has."-Introduction by Sheila early