In this episode of Global Scalpels, we explore the challenges and opportunities in building sustainable, locally led pediatric orthopedic care in low-resource settings. From developing in-country fellowship programs in Uganda to navigating the balance between “do no harm” and providing essential care, we dive into what it takes to train surgeons, improve surgical systems, and expand access to care for millions of children. We also discuss mentorship, global collaboration, and the role of education in creating lasting impact—highlighting strategies that could transform surgical care worldwide. Join us as Dr. Coleen Sabatini discusses these essential topics and even walks us through a medical condition that may be new to you!