For over two decades, CNIS has sustained partnerships in Guyana, showcasing its global reach beyond Africa. Trauma Team Training (TTT) first introduced in traditional format was later digitized to expand access. In 2024, CNIS launched the First Midwives Guyana Project with the Ministry of Health and the Canada Fund for Local Initiatives, using a hybrid model that blended digital training with hands-on simulation workshops. Focus areas included obstetric emergencies such as postpartum hemorrhage, maternal sepsis, and hypertension, with 25 senior midwives providing mentorship. Leadership sessions supported advocacy and professional growth, while 175 midwives and health professionals earned certificates by February 2025. Beyond skill-building, the project fostered local ownership and sustainable leadership within the profession. Looking ahead, Georgetown will host the 2026 Bethune Round Table, spotlighting Guyana’s growing role as a regional surgical care hub. This enduring collaboration highlights CNIS’s commitment to strengthening maternal and surgical care globally.