TLT work with local slum communities and villages, building relationship with the leaders and church pastor. By establishing this relationship, they learn what some of the communities' greatest needs are and then work with the community leaders to establish ways in which these needs can be met and sustained.

The first initiatives are to run a food or medical programme. After the success of these programmes and the ongoing relationship with the community, they then look to establish a more permanent project which would be either a learning centre and/or a medical centre.

TLT aim to establish learning centres and medical centres within the areas and villages they work. The learning centres are run by local teachers and community leaders. The medical clinics work with doctors and nurses from the local hospital.

TLT currently have 2 medical camps, Ludhiana and Admedghar and a hospital in Chamba. These medical camps are run by a Dr and a team of nurses from the local hospital. They see between 300 and 500 patients in one day who would not otherwise have any access to medical care. The type of medications delivered include antibiotics, ear and eye drops, cough medicine, diarrhoea and sickness tablets and medication for skin allergies. For major illnesses, patients are sent to the local hospital and are treated either for free or at a very discounted rate. Over the past few years Transforming Lives has also been able to deliver Typhoid, Hepatitis B and Rota virus vaccinations to those living in the slum communities. The role of the medical clinics is to medicate the local community and ensure the health and wellbeing of the local people, in order to prevent the spread of sickness and disease.