Global surgery is an area of study, research; practice and advocacy that seeks to improve health outcomes and achieve health equity for all people who require surgical care, with a special emphasis on underserved populations. Researchers and institutions in LMICs (Low and Middle Income Countries) are the major stakeholders in this and have to provide the academic leadership in this emerging field.I am a lifelong activist and campaigner for appropriate technology and affordable low-cost surgical solutions to achieve equitable surgical care for underserved populations. It gives me great pleasure to share our successful ideas which made a difference and which become our vade mecum over the years, as lessons for global surgery researchers from LMICs.