“…Laparoscopy programs are complex and require initial and sustained investments, including high levels of human capital, equipment, technical facilities and finances. [4][5][6]24,25 Farrow et al also found that poor access to training, laparoscopic equipment, equipment maintenance, and consumables were among the obstacles barring access to laparoscopy in developing countries. 26 Others studies have reported that the lack of resources and education are only 2 of the potentially numerous challenges in the complex problem of the adoption of laparoscopic surgery in LMICs.…”