San Diego nonprofit Fresh Start Surgical Gifts hosted its 27th Annual Butterfly Ball “Casino Royale” on Saturday, Nov. 3 at the Hyatt Regency La Jolla at Aventine. They surpassed its fundraising goal of $175,000 and raised more than $200,000 through donations from sponsors and more than 200 attendees of which 100 percent of contributions will go directly toward the organization’s medical program.