Abstract Objectives: The Honduran Health Alliance (HHA), a global service learning organization, is used as a case study highlighting the ethical problems that arise during the follow-up care process for women who participate in the clinic. Methods: We conducted 18 qualitative interviews and 1 focus group to understand follow-up care experiences. Results: The two ethical problems identified in our analysis are: (1) miscommunication that results in confusion and worry throughout the follow-up care process and (2) providing screenings for cervical cancer that cannot be treated due to a lack of money. Conclusions: Short-term service learning organizations need to ensure that unintended consequences such as miscommunication that results in worry and confusion are minimized during the follow-up care process. Screenings should not be performed if participants do not have adequate access to treatment.