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In 2015, the Lancet Commission on Global Surgery (LCoGS) demonstrated that 5 billion people lack adequate access to essential surgery, obstetric and anaesthesia care and set clear global targets for 2030 to meet this need. 1 What followed was a unified commitment to research, advocacy, policy and financial investment for timely access to safe surgical care, focused within low and middle-income countries (LMICs), where the burden of surgical disease is highest. Despite multiple challenges, including the COVID-19 pandemic and minimal funding in LMICs, the infrastructure provided by National Surgical Obstetric and Anesthesia Plans has facilitated some progress towards the 2030 goals.2 Ongoing support from a renewed generation of surgical providers is necessary in the coming years.2