Maine et al1 have published the next step necessary to define the burden of surgically amenable conditions in low-resource settings.1 Over the last decade, there has been a rapid proliferation of interest in “global surgery,” as most recently reflected by the Lancet Commission on Global Surgery.2 Plaguing this movement has been a lack of robust, on-the-ground epidemiologic data describing the true denominator: the number of people who might benefit from surgical intervention—the unmet surgical need.