ISTCs are a long-term sustainable intervention involving partnerships that are geared towards building surgical capacity in LMICs. However, currently, the approach of HICs to these collaborations is fragmented. This study suggests that in order to organize ISTCs, those involved should consolidate efforts, collaborate between groups involved in ISTCs, establish a system of support, take on a scholarly approach, and integrate technology into ISTCs. This study also introduces the possibility of systematizing ISTCs through action and reflection, expansion and consolidation, and a single multi-level administrative organization.