The SightFirst program is a Lions Clubs International Foundation initiative aimed at eliminating avoidable blindness globally. Its mission is to build comprehensive eye care systems in underserved communities to provide high-quality and sustainable low-cost services. Through SightFirst, Lions have restored sight to over 7 million people through cataract surgeries, provided over 147 million treatments for river blindness, and established 35 pediatric eye care centers. SightFirst applications are reviewed based on their focus on controlling blinding diseases through prevention and treatment, training of eye care professionals, and creating sustainable eye care infrastructure. Strong applications demonstrate comprehensive plans targeting underserved groups through strategic partnerships.