Participants reported a need for all parties involved in ISTCs to communicate and collaborate more effectively. Participants emphasized the particular importance of having government support for ISTCs, as most governments have control over healthcare in LMICs. “I think the overall answer is that it requires different parties coming together. It’s a lot of collaboration, a lot of interconnectivity, a lot of liaising at community levels all the way up to governments and donors.” –Global Surgery Administrator, Canada