 This study found that local communication strategies, development of community-driven referral systems, working with credible community intermediaries, and strengthening health system capacity by providing technical and logistical support all contributed to building trust in surgery for hydrosil and increased uptake of the surgeries. These findings suggest that implementing community-led communication and referral systems, engaging credible community intermediaries, and strengthening health systems can be effective ways to build trust in health systems and increase uptake of surgery for hydrosil. This article was authored by Joseph M. Zulu, Patricia Mari Tim, Adam Silambui, and others.