Health Economist, Bryony Dawkins, facilitated a parallel session titled “Health Economic Evaluation in LMICs: What are the challenges and possible solutions?”. The hour long session offered an introduction to economic evaluation of healthcare followed by a discussion of the complexities of undertaking such evaluations in LMICs where health systems are often made up of many providers and funded from many sources. Surgical trainees and GHRG partners developed new understanding of what health economics is and how it can be used to provide evidence to healthcare decision makers. They worked together to identify the different perspectives to be included in an economic evaluation in this setting and to think about where benefits and costs associated with healthcare fall across different groups. At the end, a group lead summarised the discussion and presented the findings to the wider conference audience.