This report explores the convergence of internal and external factors throughout Central America that have led millions from the region – mostly Guatemalans, El Salvadorans and Hondurans – to abandon their homes and risk the dangers of migration. The study team, formed by action of the 223rd General Assembly (2018), visited five of the seven Central American countries (Guatemala, Honduras, El Salvador, Nicaragua and Costa Rica) in 2019, listened intently to the voices of church and ecumenical partners, and met with political and economic representatives. The report offers recommendations for public witness, mission partnerships and solidarity with church partners, and education and formation for transformation in congregations. It identifies focal points for the PCUSA’s attention.