Growing academic global surgery: opportunities for Canadian trainees F ive billion people lack timely access to safe and affordable surgical, obstetric and anesthesia care, resulting in 18 million deaths each year. 1 Growing recognition of the inequity in surgical access and outcomes, and the resulting trainee enthusiasm to address this inequity, has pushed forward institutional responses within Canada and internationally. 2 In Canada, 9 of the 17 departments of surgery maintain an office of global surgery, though only 3 offer formal global surgery curricula, with variable support for global health exposure during residency. 2 There is a clear need to better support Canadian trainees -and trainess from all around the world -who wish to learn about global surgery and to ensure that the educational frameworks, opportunities, practices and values that Canadian institutions promote are well aligned with the field's core tenets. Here, we outline mechanisms by which trainees and postgraduate programs can increase their involvement in global surgery, building on existing academic opportunities in Canada.Confusion over the definition and scope of global surgery may represent a barrier to engagement. 2 Global surgery is sometimes erroneously viewed as the episodic provision of surgical care by high-income country actors in lowand middle-income countries (LMICs). However, global surgery is defined by its commitment to equity and partnership -not geography -as "an area for study, research, practice and advocacy that places priority on improving health outcomes and achieving health equity for all people worldwide who are affected by surgical conditions or have a need for surgical care…and a synthesis of individual clinical care and population-based approaches." 3 Engagement with core components of global surgery is relevant for all surgical trainees. Upon completion of training, Canadian trainees should understand the local, national, and global burden of surgical disease; the inequitable contexts and historical backdrops amidst which patients access surgical care; the unique needs of different communities (e.g., Indigenous, under-represented minority, LGBTQ, refugee, rural, remote); and broader determinants of health. These concepts are highly relevant to the diverse