Current Status of Global Neurosurgery in South-East Asia

Evidence of neurosurgery dates to the bronze age with records of skull trephination; it is one of the youngest specialties, evolving rapidly over the last century (1). Although neurosurgery developed rapidly globally, education, training, and service delivery standards are heterogeneous worldwide. In a world with unequal distribution of wealth and natural resources, what can be done to improve the health care service delivery in resource-limited nations? Historical analysis shows that cooperation among species dominantly contributes to the evolution of life in its current forms. Events at any scale have global impacts, and collaboration among the population has been critical in the survival of our species at different challenging timelines in the Earth’s history.

The recent pandemic is a testament to the power and need for global collaboration for improved health care in resource-limited nations? Historical analysis shows that cooperation among species dominantly contributes to the evolution of life in its current forms. Events at any scale have global impacts, and collaboration among the population has been critical in the survival of our species at different challenging timelines in the Earth’s history. “What is Global Neurosurgery?” is beautifully penned, and various authors have shared their ideas regarding global neurosurgery (2,3). The author presented a comprehensive overview of articles published about global neurosurgery. The true meaning is acquiring a real international stature like global organizations (UNESCO, UNICEF, WHO, etc.), aiming to provide similar support services in resource-poor setups. Therefore, do we imply globalizing neurosurgery where uniform training and neurosurgery services are provided worldwide when we talk of global neurosurgery? Like other global initiatives, global neurosurgery has different perspectives, and a clear definition is not yet established. Neurosurgeons-in-training traveling outside their countries for education often face limitations in accessing these opportunities (4). Should alleviation of these restrictions constitute an essential aspect of global neurosurgery in a literal sense?