1. Alkire BC, Raykar NP, Shrime MG, et al. Global access to surgical
care: A modelling study. Lancet Glob Heal. 2015; 3( 6):e316–323.
2. Mock CN, Donkor P, Gawande A, Jamison DT, Kruk ME, Debas HT.
Essential surgery: Key messages from Disease Control Priorities, 3rd
edition. Lancet. 2015;385(9983):2209-2219.
3. Jamison D, Moshley W, Measham A, Bobadilla J. Disease Control Priorities
in Developing Countries. New York, N Y: Oxford University Press; 1993.
4. The World Bank. World Development Report 1993: Investing in Health.
New York N Y: Oxford University Press; 1993.
5. Debas HT, Gosselin R, McCord C, Thind A. Surgery. In: Jamison
DT, Breman JG, Measham AR, et al, eds. Disease Control Priorities in
Developing Countries, 2nd edition. New York, N Y: Oxford University
6. Meara JG, Leather AJM, Hagander L, et al. Global Surgery 2030:
Evidence and solutions for achieving health, welfare, and economic
development. Lancet. 2015;386(9993):569-624.
7. World Health Organization. The 68th World Health Assembly.
Strengthening emergency and essential surgical services as a
component of universal health coverage. Report by the Secretariat.
March 20, 2015. Available at: http://apps.who.int/gb/ebwha/pdf_files/
WHA68/A68_31-en.pdf. Accessed April 12, 2016.
8. A Global Alliance for Surgical, Obstetric, Trauma, and Anaesthesia
Care. About us. Available at: www.theg4alliance.org/aboutg4alliance/.
Accessed April 12, 2016.
9. United Nations. The Millennium Development Goals Report 2015
Summary. Available at: www.un.org/millenniumgoals/2015_MDG_
Accessed April 12, 2016.
10. The American College of Surgeons. Operation Giving Back. Available
at: facs.org/ogb/. Accessed April 17, 2016.
11. Watters DA, Ewing H, McCaig E. Three phases of the Pacific Islands
Project (1995–2010). ANZ J Surg. 2012;82( 5):318-324.
12. Royal College of Surgeons in Ireland. RCSI-COSECSA Collaboration
Programme. Developing surgical skills in sub-Saharan Africa.
Introduction. Available at: www.rcsi.ie/cosecsa. Accessed April 12, 2016.
FIGURE 8. THE SUSTAINABLE DEVELOPMENT GOALS
particularly in the context of systematic
national surgical planning. To address long-term workforce strengthening, surgical
organizations in low-resource settings should
have direct channels to their high-income
partners for financial, technical, and material support for education, training, and
research. National and regional surgery
societies, such as the West African College
of Surgeons and COSECSA, provide the bulk
of surgical training for the African continent.
Their success hinges on maintaining long-term training programs that fit the needs of
their populations while creating local practice environments that will retain graduates.
As the world’s leading surgical organization,
the ACS is well-positioned to play a major
role in supporting the global community of
surgeons in advocating for the underserved
surgical patient, both domestically and
The landmark events and publications of
2015 reveal a moral imperative for all surgeons to meaningfully support the research,
advocacy, and training that is a part of the
growing field of global surgery. The health
care community can no longer turn a blind
eye to the gross inequities in access to surgical care. For more information or to get
involved, go to