To study, in collaboration with Medecins Sans Frontiers (MSF) Operational Centre Brussels, multiple aspects of surgerical procedures performed at MSF facilities in over 20 countries from 2008 to the present. Past published studies have focused on  surgical deliveries, surgical needs of children, surgical infections, operations in the elderly, operative trauma, burn care, anesthesia care, and the health burden averted at the Kunduz Trauma Centre in Afghanistan prior to its closure in 2015.