Primary projects and mission activities include:
- Annual medical mission trips to the southern district of Toledo, Belize in Central America providing care in the many isolated rural villages. The Mayan Indians are the primary recipients. Periodic medical mission trips to Eastern Guatemala on the Rio Dulce are also included.
- Tejas Missions also supports charity medical/dental clinics in Texas, educational projects in Belize, and other projects as decided by the board of directors. Additional volunteers who want to travel with the teams are decided on a case-by-case basis. Volunteers pay their own travel, hotel, and food expenses. Medical, dental, college and high school students often are part of the teams.