Abstract
Impressive progress has been made in global surgery in the past 10 years, and now serious and evidence-based
national strategies are being developed for scaling-up surgical services in sub-Saharan Africa. Key to achieving
this goal requires developing a realistic country-based estimate of burden of surgical disease, developing an
accurate estimate of existing need, developing methods, rigorously planning and implementing the plan, and
scaling-up essential surgical services at the national level
