Women refugees who have resettled in Massachusetts and across the country are working to rebuild their lives. Donations, including food, clothes, and other items remain the main source of aid for refugees. However, their needs aren’t really being met. The challenge is that most of the donated clothes the refugee women have received in the U.S. do not align with their religious or cultural values. We use a life cycle assessment method to calculate environmental, social, and economic impacts of the current donation and garment production system and provide alternative options and recommendations for improvement including, but not limited to, material, energy use, and a living wage.