Stage 1 of construction of a ChatGPT-powered surgical assistant for LMICs: Pilot validation of a database of affordable surgical solutions

Surgeons in LMICs need to navigate resource constraints and require affordable, evidence-based solutions. ChatGPT, a generative AI, offers the potential for real-time, context-specific clinical support. Our study represents the first stage in constructing a ChatGPT-powered surgical assistant tailored for LMICs, focusing on validating an organized database of relevant affordable surgical solutions. A cross-sectional survey via Google Forms was sent to surgeons devoted to resource-limited surgical care. Some 25 previously published surgical solutions were assessed using a Likert scale for: (1) alignment with clinical practice, (2) recommendation for inclusion in guidelines, and (3) clarity of language. A total of 51 surgeons from 22 countries participated; most endorsed the solutions with 2/3 agreeing that they aligned with clinical practice and supported guideline inclusion, and >80% found their language clear. This endorsement supports the relevance and comprehensibility of the selected solutions and provides critical input for developing a ChatGPT-based surgical assistant, enabling tailored practical recommendations for LMIC surgeons.