In 1988 , Operation California began using the name Operation USA because it better described the effort and intent of the organization to represent the entire American people . In 1989 Operation USA facilitated operations on children in Vietnam who had cleft palates by a Los Angeles @-@ based plastic surgeon , Dr Stanley Frileck . Medical aid effort was delivered to Mexico in 1990 , by OPUSA in conjunction with USSR relief workers . In 1991 OPUSA delivered aid to Bangladesh . OpUSA delivered aid to war torn Somali 's in 1993 . In 1994 OpUSA provided earthquake relief . In 1995 the organization provided aid to Hurricane Mitch survivors in Honduras and Nicaragua . In 1999 OpUSA supplied aid to storm victims in Mexico . In 2003 OpUSA delivered aid to Iraq War victims in the Persian Gulf . The tsunami victims in Sri Lanka and Indonesia were aided by OpUSA in 2004 , as well as the Mexico City Flood victims .