A Unified Vision for Global Neurosurgery — Boston Declaration 2025

Abstract Emerging from the foundational efforts of the Lancet Commission on Global Surgery (2015) and the Bogota Declaration (2016), the Boston Declaration 2025 marks a transformative milestone in the Global Neurosurgery movement. It calls for equitable, timely, and affordable neurosurgical care across all regions, especially in low-resource settings. Central to this vision is the active inclusion of Neuroscience Nurses—recognized as frontline caregivers, educators, and advocates—within the neurosurgical nexus. The Boston Declaration uniquely positions Neuroscience Nurses as central architects in this transformation. Nurses serve as essential links across the continuum of care, contributing to frontline service delivery, capacity building, education, policy advocacy, and health system integration. Their inclusion ensures a person-centered approach rooted in lived experience and local context. The Declaration grounded in for an expanded neurosurgical ecosystem that embraces interdisciplinary collaboration—spanning clinicians, engineers, policymakers, and communities—and encourages innovation through data, artificial intelligence, and sustainability. It underscores the urgency of building resilient care systems to address the global neurosurgical burden. As a global blueprint for neurosurgical equity, the Boston Declaration invites all Neuroscience Nurses and professional societies to take an active role in this collective endeavour. Through shared commitment, we can drive transformative progress that reshapes global neurosurgical care and affirms the essential role of nurses in leading change.