Shortly after marriage the young couple were assigned with W. B. Toy, M.D., and family to open a new field at Pitsanuloke, some two hundred and fifty miles up the Meinam River. While Dr. Toy was to establish a hospital, funds for which were to be provided by the Board, Boon Itt was to open a school. Through the good offices of public officials he secured the temporary use of some government building. Concerning this enterprise Dr. Eakin writes vividly: “He began work in a small way, but he did it thoroughly. In a few months he had attracted attention of the government authorities. They began to send their sons to the school.... It was a slow process of growth but it was indigenous from the start. In this respect it was typical of all Boon Itt’s work. He tried to work with the Siamese people from the inside out, instead of following the common method of applying something foreign largely on the outside. “It required rare self-sacrifice in Mr. Boon Itt to labour on, teaching the rudiments of learning in that little school when he felt that he was capable of doing a work that would loom larger in the public view.... But there was a subtler temptation in the opportunity to do a work that would make a greater show before the world. He had warm friends at home [America] who were rising in business and professional life. An appeal to them would have enabled him to make his school a more immediate and manifest success.... He felt the cost in his very soul, when he turned his back upon that temptation; but he decided that the slow indigenous work was the only way to secure permanence. “The work has gone forward in Pitsanuloke since those days. A church has been organised there which promises well; but the present prosperity owes much to the patient digging and laying foundations out of sight, which was done by Mr. Boon Itt.” After a time the government had use for the building and it became necessary to seek other quarters for the school. Boon Itt leased a new site of about ten acres on the west bank of the river adjacent to the barracks, at a nominal price. As the Board had no funds available for a building he personally secured subscriptions from local merchants and officials amounting to four thousand ticals (two thousand dollars), besides lumber and building materials. A plain but substantial two-story school building of teak wood was erected under his personal supervision and partly by the labour of his own hands.