The long distance adoptions project of Lama Gangchen Help in Action is active since 1992 in Nepal, Tibet-China and India. Through the project it is possible to help from a distance a child, an elderly, sick or disabled person, or a Buddhist monk. Funds that are collected are also used towards the realization of fundamental medical and educational infrastructures within the communities where the adopted people live. This report describes the work being done and how people can help.