Abstract : This chapter from the book Modern Day Slavery and Orphanage Tourism responds to the question of how sending countries (of people, money and resources) contribute to the institutionalization of children in receiving countries. It explores the demand factors for orphanage tourism that drive what is argued as the unnecessary institutionalization of children, and critically examines supply factors, including the business model of orphanages. The chapter concludes with a discussion of the economic and social impacts of orphanage voluntourism and the approaches required to shift demand and supply factors.