ABSTRACT
Neurosurgery is a relatively new branch of surgery that is increasingly important in global health. Neurosurgery has benefited from many recent technological improvements that have significantly increased the number of common conditions that can be effectively treated. Unfortunately, access to neurosurgeons is disproportionately concentrated in high-income countries, while many low- and middle-income countries have a drastic lack of neurosurgical workforce. This leads to extreme health disparities in the absence of urgently needed neurosurgical procedures. Access to current information can be improved by including LMICs in randomized clinical trials (RCTs) and by using the consensus conference method approach when RCT-derived evidence-based clinical guidelines are not applicable to LMICs. HICs must also contribute to meet the equipment needs of LMICs as well as share knowledge on how low-cost devices may be appropriately used in resource-constrained clinical environments. Finally, efforts to reduce disparities can benefit from the many new, more inclusive methods of communication we have learned to use effectively during the global SARS-CoV-2 pandemic. © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2022.