As experts from the surgical and healthcare world gather for the 64th Annual Conference and Scientific Meeting of the West African College of Surgeons in Sierra Leone this week, a profound dedication to advancing surgical knowledge and practice in the region is palpable. At the forefront of discussions lies the conference’s pivotal theme: access to safe and affordable surgical and anesthetic care in West Africa. This theme highlights the pressing need to address disparities in healthcare capabilities and capacities across the region, especially the critical importance of equitable access to quality surgical interventions.