Implementing an Advanced Thoracic Surgery Program in Rural Haiti: Challenges of High Complexity Surgery in a Low Income Country.

Recently, the Lancet Commission on Global Surgery estimated that 5 billion people lack access to surgical care. While barriers of funding, training, staff and resources are substantial, demand for surgical care is immense in Low Income Countries. For the last two years the Hopital Universitaire de Mirebalais (HUM) in Haiti has provided surgical care to over 4,000 patients. Recently a pilot trial of advanced thoracic surgery has been established.