Almost 5 billion people lack access to basic surgical services worldwide. Populations in lower-middle income countries (LMICs) are disproportionately affected by this inequity, with less than 6% of all operations being delivered to the world’s poorest populations. 

Barriers to care include 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.

Surgical, obstetric, trauma, and anaesthesia care has a crucial role to play in fulfilling the Sustainable Development Goals (SDGs), and achieving Universal Health Coverage (UHC).

With the introduction of both a  World Health Organization Resolution recognizing the importance of Surgical Care and Anaesthesia as part of UHC and the SDGs, there has never been a more opportune time for members of the global community to unite in support of surgical care on the global agenda.  In response to this opportunity, a network of stakeholders came together to form an Alliance of organizations dedicated to promoting universal access to safe, essential surgical, obstetric, trauma and anaesthesia care.

Together, G4 Alliance Member Organizations are united in their commitment to advocating for the neglected surgical patient. 


The G4 Alliance exists to increase political priority and mobilize resources to help provide safe surgical care for patients in need. Collectively, we are 80+ organizations with dozens of years of experience in surgical, obstetric, trauma, and anaesthesia care.

Our work cuts across three main pillars of action:

  • Advocacy: Galvanizing collective action through our member network
  • Policy Implementation: Enabling country-level implementation of national surgical plans and advocating for policies that prioritize surgical, obstetric, and anaesthesia care
  • Resource Mobilization: Catalyzing funding for global surgery

High-Income Countries (HICs), Multi-Lateral Organizations and the Private Sector

  • so that these partners (public and private) are aware of the issue and willing to help provide the needed policies, partnerships, strategies and resources to implement successful solutions.


Strategic Partnerships

  • so that NGOs, Health Ministries, Finance Ministries, governments, professional societies and other stakeholders are programmatically aligned, and tracking and evaluating progress efficiently; and
  • so that the broader global health community and related sectors participate in health systems strengthening, which includes surgical care as a critical and an indivisible component of universal health coverage.

Low- and Middle-Income Countries (LMICs)

  • so that LMIC governments understand the impact of surgical care (or lack thereof) on the broader health system and establish country-ownership and effective, sustainable policies and programs; and
  • so that local providers receive the resources (technical, partnerships, policies and funds) needed to increase access and provide safe surgical care for all.


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. The G4 Alliance believes that significant improvements in surgical care and anaesthesia, which save lives and prevent life-long disability and life-threatening complications, can be sustainably and affordably integrated within existing health systems.


The G4 Alliance is committed to advocating for the neglected surgical patient and is driven by a mission to provide a collective voice for increased access to safe, essential and timely surgical, obstetric, trauma and anaesthesia care as part of universal health coverage.


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