Although there are direct benefits to providing surgical care in LMICs, there may also be unintended consequences in the long-term [4, 6, 9]. Not all patients are able to receive operations during surgical missions, and those that do may not receive follow-up care, because the necessary resources are not always in place to provide it . Local surgeons may feel demotivated when local patients are treated as a part of surgical care missions that they are not involved in . Some groups in HICs also provide surgical equipment/resources for LMICs; however, it is generally difficult to keep that equipment running, often due to the lack of technicians and parts. These interventions do have an important place within global surgery efforts and provide some immediate relief for the burden of surgical disease, but they may not have long-term benefits . Currently, the field of global surgery has put an increasing focus on building capacity and surgical infrastructure with long-term goals for improving access to surgical care worldwide.