Another limitation is that LMICs were not included in the study. The purpose of the study was to characterize the issues causing fragmentation in global surgery efforts from the perspective of those in HICs, which is why only participants from HICs were interviewed. The perspective of those in LMICs is vital to this discussion; however, separately characterizing issues experienced by LMICs can allow those issues to be addressed specifically. A similar study should be done in LMICs to assess needs for unifying, systematizing, and improving global surgery efforts, and the authors are presently aiding colleagues in LMICs with this effort.