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This work examines how, over a 10-year span, School-wide Lesson Study (SLS) and Teaching Through Problem Solving (TTP) helped transform School T, a historically underperforming, underserved elementary school, into a positive outlier in mathematics achievement. Using a mixed-methods design, we analyzed student achievement and perception data and qualitative evidence from Lesson Study cycles, exploring connections among instructional practices, student experiences, and outcomes. Artifacts from Years 1 and 4 reveal TTP-aligned changes in teacher knowledge, goals, and classroom routines. The sustained improvement in math scores is echoed by an upward trajectory in students’ self-efficacy, both gains unique to School T compared to district trends. Most students reported high comfort sharing math ideas and believed their peers learn from their thinking.