SURGERY: Edited by Grace Z. Mak and Jessica J. KandelGlobal children's surgery: recent advances and future directionsUllrich, Saraha; Kisa, Phyllisb; Ozgediz, DorukaAuthor Information aDepartment of Surgery, Yale University, New Haven, Connecticut, USA bDepartment of Surgery, Makerere University, Kampala, Uganda Correspondence to Sarah Ullrich, MD, Department of Surgery, Yale University, New Haven, Connecticut, 330 Cedar Street, FMB 107, New Haven, CT 06510, USA. Tel: +1 203 785 7890; e-mail: [email protected] Current Opinion in Pediatrics: June 2019 - Volume 31 - Issue 3 - p 399-408 doi: 10.1097/MOP.0000000000000765 Buy Metrics Abstract Purpose of review Two-thirds of the world's population lacks access to surgical care, many of them being children. This review provides an update on recent advances in global children's surgery. Recent findings Surgery is being increasingly recognized as an essential component of global and child health. There is a greater focus on sustainable collaborations between high-income countries (HICs) and low-and-middle-income countries (HICs and LMICs). Recent work provides greater insight into the global disease burden, perioperative outcomes and effective context-specific solutions. Surgery has continued to be identified as a cost-effective intervention in LMICs. There have also been substantial advances in research and advocacy for a number of childhood surgical conditions. Summary Substantial global disparities persist in the care of childhood surgical conditions. Recent work has provided greater visibility to the challenges and solutions for children's surgery in LMICs. Capacity-building and scale up of children's surgical care, more robust implementation research and ongoing advocacy are needed to increase access to children's surgical care worldwide. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.