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In an effort to better plan and allocate resources for pediatric surgical care in LMICs, a survey of pediatric surgical capacity using specific tool was needed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Based on the previously published Surgeons OverSeas Personnel, Infrastructure, Procedure, Equipment, and Supplies (PIPES) survey, a pediatric PIPES (PediPIPES) survey was created. To ensure relevance to local needs and inclusion of only essential items, a draft PediPIPES survey was reviewed by nine pediatric surgeons and modifications were incorporated into a final tool. The survey was then distributed to surgeons throughout sub\u2010Saharan Africa. Data from West Africa (37 hospitals in 10 of the 16 countries in the subregion) were analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fewer than 50 % (18\/37) of the hospitals had more than two pediatric surgeons. Neonatal or general intensive care units were not available in 51.4 % (19\/37) of hospitals. Open procedures such as appendectomy were performed in all the hospitals whereas less\u2010invasive interventions such as non\u2010operative intussusception reduction were done in only 41 % (15\/37). Life\u2010saving pediatric equipment such as apnea monitors were not available in 65 % (24\/37) of the hospitals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The PediPIPES survey was useful in documenting the pediatric surgical capacity in West Africa. Many hospitals in West Africa are not optimally prepared to undertake pediatric surgery. Our study showed shortages in personnel, infrastructure, procedures, equipment, and supplies necessary to adequately and appropriately provide surgical care for pediatric patients.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-014-2868-5","type":"journal-article","created":{"date-parts":[[2014,12,9]],"date-time":"2014-12-09T18:15:43Z","timestamp":1418148943000},"page":"669-676","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":49,"title":["A Pilot Survey of Pediatric Surgical Capacity in West Africa"],"prefix":"10.1002","volume":"39","author":[{"given":"Mekam T.","family":"Okoye","sequence":"first","affiliation":[{"name":"Johns Hopkins University School of Medicine Baltimore MD USA"},{"name":"Johns Hopkins Bloomberg School of Public Health Baltimore MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuel A.","family":"Ameh","sequence":"additional","affiliation":[{"name":"Ahmadu Bello University Zaria KD Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam L.","family":"Kushner","sequence":"additional","affiliation":[{"name":"Surgeons OverSeas (SOS) New York NY USA"},{"name":"Columbia University College of Physicians And Surgeons New York NY USA"},{"name":"Johns Hopkins Bloomberg School of Public Health Baltimore MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benedict C.","family":"Nwomeh","sequence":"additional","affiliation":[{"name":"Surgeons OverSeas (SOS) New York NY USA"},{"name":"Nationwide Children\u2019s Hospital Columbus OH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,12,10]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010013\u20101996\u20107"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2011.11.048"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010011\u20101330\u20101"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1093\/tropej\/fmt001"},{"key":"e_1_2_7_6_2","unstructured":"WHO(2012)Levels and Trends in Child Mortality.http:\/\/www.who.int\/maternal_child_adolescent\/documents\/levels_trends_child_mortality_2012.pdf?ua=1. 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