Remy J Salmon - aGCS Cognac Jay, Saint Jean de Dieu Clinique, Paris, France

Darwin said that "the species that survive are not the strongest or the most intelligent, but they are the ones that will be able to adapt".In addition, in an article of the Lancet, volume ۲۲, issue ۲, p۱۸۲-۱۸۹, February ۰۱, ۲۰۲۱ titled "Global demand for cancer surgeons: Evaluation of the optimal number of surgeons and anesthesiologists between ۲۰۱۸ and ۲۰۴۰" concerning ۱۴۳ countries of low, medium and high-income levels, we are provided with predictions that concern us all. The model used in this study estimates that the number of cancer cases requiring surgery will increase by ۵ million (۵۲%) from ۲۰۱۸ (۹,۰۶۵,۰۰۰) to ۲۰۴۰ (۱۳,۸۲۱,۰۰۰). The largest relative increase will mainly affect ۳۴ low-income countries, where the level of equipment is the lowest. To balance these figures with high-income countries would require an increase in the number of surgeons by four and anesthetists by ۵.۵. However, this does not mean that the number of surgeons in high-income countries is and will remain optimal.

Surgical Oncology