Delivering surgical services in rural and remote settings comes with logistical, infrastructural, and workforce challenges. The limited availability of trained surgeons, anesthesiologists, and specialized equipment can impede patient outcomes. Creative solutions, such as telemedicine, mobile surgical units, and outreach programs, are increasingly filling the gap. Local provider training, regional surgical hubs, and using technology enhance access to high-quality care. Rural healthcare infrastructure investment is targeted to guarantee timely surgery, diminish complications, and improve overall public health outcomes in rural populations.