Open Access Has a Dirty Secret, Surgical Editors Say
Surgery journal editors outline recommendations to address cost disparities affecting LMIC and unfunded researchers
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By
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Kerri Miller
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April 1, 2026
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Open access publishing may create financial barriers for authors, shifting costs from readers to authors through article processing charges (APC).
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The disparity in APC costs can limit participation for researchers in low- and middle-income countries (LMIC) and unfunded investigators globally.
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Approximately 50% of surgical journals now operate under open or hybrid models, while major publishers report significant annual revenues.
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The Surgery Journal Editors Group recommends waiving APCs for authors from LMICs and minimizing fees for researchers without funding.
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Equitable access to publishing is crucial for scientific representation and patient care, as the current system risks a two-tier knowledge economy.