A convenience sample was used for the study, so there was slightly larger representation from one locality. Additionally, due to qualitative methodology, the results may not be generalizable. The large sample size was intended to help address these limitations. In general, the findings from qualitative research rely on the skills of the researcher, which may lead to some bias in the results. There is also more difficulty in assessing the rigor of the study since quantitative measurements were not used. It is also implausible to visually characterize the qualitative findings. However, qualitative research provides a more in-depth analysis of the practical issues within global surgery that quantitative measurements cannot characterize.