Participants mentioned the need for respect when engaging in ISTCs. They emphasized the importance of recognizing that those in LMICs know more about what can be accomplished within their own environment than visitors do. Participants pointed out that surgical healthcare providers in LMICs can perform some surgical procedures more effectively than those in HICs and that the value of their expertise should be acknowledged. Participants said they could learn how to use fewer resources for surgical procedures from their colleagues in LMICs. “It’s very helpful for clinicians [from HICs] to see what can be done with fewer resources, which is one of the things they can learn, since [surgeons from LMICs] have learned to be more efficient in certain things that they do.” –Psychiatrist, Canada