On a much larger scale, there should be involvement of and alignment with in-country stakeholders such as the Ministry of Health, Ministry of Finance, etc. who can lend support to ISTCs, direct resources to the areas of most need, and guide where efforts are implemented. This could potentially take form as an expansive country-wide conference that includes all HIC teams involved in the region as well as all local stakeholders to reflect on the coordination of efforts and how best to address the country’s needs. More recently, conferences such as these have been held in countries such as Zambia and India, leading to collective involvement of surgical healthcare providers and national stakeholders in discussing each country’s surgical needs and ways to address them . These conferences are often organized and hosted through the collective efforts of both LMIC and HIC stakeholders, including surgical healthcare providers and the Ministry of Health, as part of the implementation of national surgical, obstetric, and anesthesia plans .