Providing care to children from low and middle-income countries with complex surgical problems: An 18 year review

•Currently, providing sustainable complex surgical care for patients from LMICs have not been studied.•This article demonstrates that patients from LMICs can receive competent complex surgical care though sustainable partnership with not-for-profit organization. The burden of surgical disease in children from low and middle-income countries (LMICs) is becoming more recognized as significant and undertreated. We recently reviewed our health system's experience with providing quaternary-level surgical care to children from LMICs through a partnership with World Pediatric Project (WPP), a not-for-profit organization. A retrospective review was performed of all WPP-sponsored patients who received surgical care at our children's hospital from LMICs in the Caribbean and Central America from July 2000 to August 2018. Two hundred and fifty-five patients (average age: 5.9 ± 5.3 years; range: