Maximizing progress through minimally invasive incisions: the role of minimally invasive surgery in global gynecology.

PURPOSE OF REVIEW: Significant disparities in access to minimally invasive surgery (MIS) exist worldwide. This opinion piece reviews the global burden of gynecologic diseases, the economic implications of MIS implementation, and the current state of MIS in low- and middle-income countries (LMICs).

RECENT FINDINGS: Women in LMICs experience a higher burden of benign gynecologic diseases compared to women in high-income countries. Unfortunately, due to barriers in healthcare/surgical infrastructure and limited MIS training among physicians in LMICs, MIS options remain limited. Open surgery, which has major repercussions for the health, quality of life, and financial stability of patients and the economic security of healthcare systems, remains the surgical standard of care in many countries. Some LMICs have demonstrated promising results in the implementation of laparoscopy, but this requires investment in infrastructure and personnel alongside meaningful collaboration with policymakers and industry leaders. Training partnerships are a critical component to elevate the international standard of surgical care for women.

SUMMARY: This article summarizes current barriers to the implementation of MIS and offers insights to overcome these obstacles on a global scale. National governments, industries, international surgical societies, and individual surgeons all play a role in achieving global surgical equity.