GlobalSurgBox is a low-cost surgical simulation kit to help overcome resource constraints, allowing for easy and affordable implementation. We currently follow a “make one locally, give one globally” approach wherein programs with access to resources and materials will assist in creating and distribution simulation kits to our partners in low and middle income countries. Our partners are now also innovating and finding their own alternative materials to create their own GlobalSurgBoxes. We see this as a sustainable global surgical education initiative, inviting ongoing innovation for trainees to create future iterations based on local needs.