The Program in Global Surgery and Social Change (PGSSC) in the Department of Global Health and Social Medicine at Harvard Medical School seeks to achieve excellence and equity in global surgical and anesthesia care through leadership and innovation in education, training, research, clinical care, and advocacy. Projects undertaken by the PGSSC consist of sustainable efforts to improve delivery of quality surgery and anesthesia in low- and middle-income countries in the Americas, Africa, and the Caribbean. Through the Paul Farmer Global Surgery Research Fellowship, surgical residents are able to obtain the medical and non-medical skills they need to improve the health of some of the world’s most impoverished people.