Participants mentioned a need for administrative staff to help sustain ISTCs. They reported that administrators could plan and organize trips, reach out to donors, and build departmental global surgery plans. Participants also reported that administrative staff could help form ISTCs by doing initial outreach and creating partnerships with institutions abroad. “If we can bring in some administrative people or some kind of political involvement, and also have some kind of knowledge on how to create these global partnerships, I think it’ll be so much more helpful.” –Global Surgery Administrator, Canada