Makayla's only birthday wish was to make kids with cancer happy.
For the second year in a row, Makayla decided to donate all of her birthday presents.
Makayla asked her classmates to help her with a toy drive, and she was able to collect dozens of goodies.
The 6-year-old is battling cancer too, just like the kids at Texas Children's Hospital.
"Makayla can relate to them better than anybody. She knows how uncomfortable it is to be sick, to be poked, to be sitting in a hospital room when you just want to be outside playing," mom Gretchen Buckingham said. "That's why it's a big deal for Makayla to give them that little bit of joy, even if it's for a few moments."
Makayla was diagnosed with acute lymphoblastic leukemia back in 2015 and still goes in for monthly treatment.