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Global neurosurgery has become an increasingly popular facet of global health because of striking disparities in access to neurosurgical care across the world. Regardless of the commendable efforts invested in gaining equity in this enterprise, global neurosurgical initiatives can present with various ethical challenges and opportunities for causing harm to vulnerable populations. This chapter highlights some of the concerns that arise in the planning, implementation and follow-up of international neurosurgical aid. It also explores some of the fundamental ethical principles and theories that underlie these issues and applies them to an illustrative case. While there may never be a clear cut answer to many of these ethical dilemmas, we hope that in discussing the ethics of global neurosurgery, future neurosurgeons will be able to give the most in these noble initiatives which strive for equality in global medical care.
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