Surgical Film Library Submission Form Question Title * 1. Contact Information (Required.) First Name Last Name (Surname) Email Country Institution/Affiliation Question Title * 2. Film Title (Required.) Question Title * 3. Films contributing surgeons/authors name, institution, and country (optional) Question Title * 4. Film disease type (Required.) Cervix Endometrial Ovarian Vulvar Breast Other Question Title * 5. Surgical Route (Required.) MIS - Laparoscopic MIS - Robotic Open N/A None of the above Question Title * 6. Surgical Location (Required.) Upper abdomen Mid-abdomen Pelvis Inguinal Chest Vulva Question Title * 7. Film Level of Expertise for Target Audience (Required.) Novice Intermediate Expert Question Title * 8. Film Procedure (Required.) Question Title * 9. Brief Description of Film (200 words max) (Required.) Question Title * 10. FILM UPLOADClick here to upload your film to IGCS Dropbox Folder Provide the file name you uploaded to Dropbox in the textbox below. (Required.) Question Title * 11. IGCS Publication Consent NoticeBy submitting your surgical film for consideration in the IGCS Surgical Film Library, you acknowledge and agree that the video may be made accessible through the IGCS Education360 Learning Portal.Your consent confirms that you have obtained all necessary permissions and consents for the recording and sharing of the content, including from any patients, colleagues, or institutions featured in the film. You also grant IGCS the non-exclusive right to use, reproduce, and distribute the submitted material for educational purposes. If you have any questions regarding this consent, please contact education@igcs.org. (Required.) I agree Done