This introduction presents an overview of the key concepts discussed in the subsequent chapters of this book. The book focuses on Early onset scoliosis (EOS) has a theme dedicated to this problem and the accompanying solutions to this vacuum. It provides guidelines based on the successful programmes run by the most experienced doctors and global thinkers. The book explores implementing this service in low- and middle-income countries (LMICs). It also provides guidelines for the surgeons and global organisations that are interested in improving global health concerning EOS in LMICs. The book addresses surgeons travelling to these countries, explaining how to best understand this challenging logistical, legal, and organisational context and how to most effectively contribute to the elevation and support of local surgeons through sustainable mentoring and other partnership programmes. It facilitates the improvement and expansion of paediatric spine deformity service in these underserved communities.