• F D McDermott, M E Kelly, A Warwick, T Arulampalam, A J Brooks, T Gaarder, B A Cotton, and D C Winter.
• Colorectal Department, Royal Devon and Exeter Hospital, Exeter, UK.
• Br J Surg. 2016 Feb 1; 103 (3): 165-9.

BackgroundSurgery has had low priority in global health planning, so the delivery of surgical care in low- and middle-income countries is often poorly resourced. A recent Lancet Commission on Global Surgery has highlighted the need for change.MethodsA consensus view of the problems and solutions was identified by individual surgeons from high-income countries, familiar with surgical care in remote and poorer environments, based on recent publications related to global surgery.ResultsThe major issues identified were: the perceived unimportance of surgery, shortage of personnel, lack of appropriate training and failure to establish surgical standards, failure to appreciate local needs and poor coordination of service delivery.ConclusionSurgery deserves a higher priority in global health resource allocation. Lessons learned from participation in humanitarian crises should be considered in surgical developments.© 2015 BJS Society Ltd Published by John Wiley & Sons Ltd.

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