Global Scalpels: A Global Surgery Podcast is an interview show about surgical care in places where it is hard to get, and about the people trying to change that. Two co-hosts lead the conversations, and each episode title carries the names of one or two guests. The questions are practical ones. Who does the operation, who trained them, who pays, and what happens when the patient cannot reach the hospital at all? Orthopedic care comes up in several conversations. In one, a pediatric orthopedic surgeon describes a review of musculoskeletal clinics and village outreach in which about 40 percent of children seen had gluteal fibrosis or post-injection paralysis, well ahead of trauma, infection or cerebral palsy. A second study followed at a hospital just outside Kampala. Elias, a third-year medical student at UT Southwestern and an intern with the show, guest-hosts that episode. Dr. David Spiegel, a professor of orthopedic surgery at the University of Pennsylvania whose work has taken him to Nepal, Iraq, Mongolia, Pakistan and Tanzania, is asked how to weigh high-income evidence against what is workable where care is costly or far away. His answer turns to hospital systems, with Nepal as the example. The same conversation makes a sharp point about teaching: a short workshop on putting on a cast is not the same as months spent working through problems together on site. In 'Ep 53: Rowa and Gladys', with Lieutenant Colonel Dr. Gladys Ngondo, a military orthopedic surgeon, the focus is hand surgery in Malawi, where British and Malawian hand therapists work in the room next to the surgeons. Then the show leaves the hospital altogether. Patrick Miner, a PhD candidate at the University of Edinburgh who once worked in urban planning in Chicago, argues that fewer road crashes mean fewer trauma calls for emergency services. He also notes how moving a hospital to Edinburgh's outskirts made journeys to trauma care longer. Meryl Westlake and Lucy Taylor, who have produced content for charities and purpose-driven organizations, discuss where a code of ethics should stop a camera, including during childbirth, when a woman in labour cannot really give informed consent. Dr. Metasebia Abebe, an assistant professor of plastic and reconstructive surgery at St. Paul Hospital Millennium Medical College in Ethiopia, describes the visa refusals, flights, lodging and currency gaps that make overseas fellowships so hard for young surgeons from LMICs. Her conversation also covers training the next generation of plastic surgeons in Ethiopia, and a link between climate change and hyena bites that clearly surprised one of the hosts. The hosts' follow-up questions keep coming back to the practical: how a team is staffed, how a fellowship gets paid for. Episodes close by inviting suggestions of people whose global surgery work should be featured. A listener comes away seeing surgery as a chain that can break at the road, the border, the budget or the camera, long before anyone reaches the operating table.