In Reply We thank Beard and colleagues for their comments and are in agreement with them. It was not our intention to suggest that providing low-cost mesh was the only option for improvement of access to surgical care for hernias. We fully agree that education focused on improving safety and technical ability is paramount as part of a broad-based effort to decrease disparities. The primary purpose of our Viewpoint was to point out that we do not feel medical device manufacturers have done all that they could to help the global surgical community provide access to safe, modern surgical care for all.
Forrester JD, Forrester JA, Yang GP. Hernia Mesh Repair and Global Surgery—Reply. JAMA Surg. Published online October 12, 2016. doi:10.1001/jamasurg.2016.3497