The Lancet Commission on Global Surgery April 27, 2015 TIME UQ Surgical care has been afforded low priority in the worlds poorest regions, leaving 5 billion people without access to safe affordable surgical and anaesthesia care. The Lancet's Commission on Global Surgery was released today and gives a timely reminded as to the disparity in healthcare across the globe. To view the commission and associated documents, head here. Todays surgical workforce would need to double in 15 years to reach our rate of 80% coverage of essential services by 2030...The total costs to reach these targets are significant at approximately 350 billion dollars by 2030, however the costs of failure are even greater. The lost output will cost developing countries an estimated 12.3 trillion dollars.