Roles of a Single Multi-Level Global Surgery Administrative Structure. Local, national, and international boards working in conjunction as a single multi-level administrative structure can unify ISTCs and other sustainable global surgery efforts. Working at a grassroots level, local global surgery boards can directly monitor and engage in local global surgery efforts, assess local needs, and share these needs with the relevant national global surgery board. These national boards can then monitor local efforts and guide resources and funding to underserved areas, while consolidating requests to share with the international board. The international board tracks global surgery efforts, receives requests/needs from the national level, consolidates data/research, tracks funding, and disseminates data and knowledge of successes/failures down to national boards, who can then share this global information to those working on the local level