*1.Contact Information(Required.)

First Name

Last Name (Surname)

Email

Country

Institution/Affiliation

*2.Film Title(Required.)

3.Films contributing surgeons/authors name, institution, and country (optional)

*4.Film disease type(Required.)

Cervix

Endometrial

Ovarian

Vulvar

Breast

Other

*5.Surgical Route(Required.)

MIS - Laparoscopic

MIS - Robotic

Open

N/A

None of the above

*6.Surgical Location(Required.)

Upper abdomen

Mid-abdomen

Pelvis

Inguinal

Chest

Vulva

*7.Film Level of Expertise for Target Audience(Required.)

Novice

Intermediate

Expert

*8.Film Procedure(Required.)

*9.Brief Description of Film (200 words max)(Required.)

*10.FILM UPLOAD
Click here to upload your film to IGCS Dropbox Folder

Provide the file name you uploaded to Dropbox in the textbox below.(Required.)

*11.IGCS Publication Consent Notice
By 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.)

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