Although Christianity once flourished in Italy, today few faithfully practice the culturally traditional Catholic faith. Secularism is common and those seeking spiritual answers are more likely to explore a New Age or pagan practice than consider the Bible. Church workers who are faithfully sharing the gospel face discouragement.

MTW seeks to provide support for and assist existing Bible-proclaiming churches as they mature and expand. Missionaries are serving in several cities across Italy, evangelizing, assisting in the planting and growing of churches, training church leaders, and working to develop an Italian Reformed denomination.