 This study examined the feasibility of implementing surgical team mentoring in Malawi. The study found six different implementation scenarios, each with its own set of resources and potential for scaling up surgery at district hospitals. An output or performance-based financing scheme is needed to incentivize district hospitals to scale up surgery. Continued communication, monitoring, and reevaluation are necessary to ensure successful implementation of surgical team mentoring. This article was authored by Hank Brokwazin, Marty Lord Ifionaiakai, Gerald Mopasa, and others.