A possible model for organization is a three-tiered system: local, national, and international. At each level, there could be a “Board of Global Surgery,” with the local boards feeding information to the national and international boards. This bottom-up approach could help with the dissemination of information regarding ISTCs globally, without restricting individual initiatives. These boards could include groups of individuals that could function to provide organizational support to ISTCs worldwide. On a national/regional scale, there are professional bodies in place that direct, monitor, and evaluate surgical services in many countries around the world, including LMICs. Professional bodies could potentially play a significant role in organizing and unifying global surgery efforts on a national level, and can then feed information to a larger international body that coordinates ISTCs worldwide. On an international scale, a board could monitor and organize these national efforts and serve as an international data collection/research hub for global surgery work . See Fig. 5.