The Global Alliance for Surgical, Obstetric,
Trauma, and Anaesthesia Care

The Global Alliance for Surgical, Obstetric, Trauma, and Anaesthesia Care (The G4 Alliance) is an advocacy-based organization dedicated to building political priority for surgical care as part of the global development agenda. We provide a collective voice for Member Organizations united in their commitment to supporting increased access to safe, essential surgical, obstetric, trauma, and anesthesia care for all.


The G4 Alliance is committed to advocating for the neglected surgical patient and is driven by a mission of providing a collective voice for increasing access to safe, essential and timely surgical, obstetric, trauma, and anaesthesia care.


Universal Access to Quality Surgical, Obstetric, Trauma, and Anaesthesia Care
Every human being is entitled to ready access to high quality, life-saving, safe surgical, obstetric, trauma and anaesthesia care performed in their communities. We believe that significant improvements in surgical care and anaesthesia, which save lives and prevent life-long disability or life-threatening complications, can be sustainably and affordably integrated within existing health systems.

The Issue

Over two billion people lack access to basic surgical services worldwide with less than 4% of all operations being delivered to the world’s poorest countries. Marginalized populations continue to suffer due to a lack of trained health care providers, inadequate infrastructure, disproportionate out of pocket healthcare costs, and lack of prioritization of surgical, obstetric, trauma and anaesthesia care as part of national health plans and more widely, the global agenda.

With the anticipated introduction of a World Health Assembly Resolution on Surgery and Anaesthesia Care and the UN's Post-2015 Sustainable Development Agenda, there has never been a more opportune time for members of the global community to unite in support of surgical care in the global agenda.  In response to this opportunity, a network of stakeholders have come together to form an Alliance of organizations united in their commitment to promoting universal access to safe, essential surgical, obstetric, trauma and anaesthesia care. Membership to the G4 Alliance is reserved exclusively for organizations.