Purpose <p>Global surgery interest is high among trainees, but education is limited and focused on international electives. We piloted a longitudinal global surgery curriculum integrated into the general surgery residency program in a large academic medical center over 1&#xa0;year.</p> Methods <p>We established and integrated a global surgery curriculum into the existing general surgery curriculum. Cross-sectional surveys using a Likert scale were distributed to all surgery residents at the beginning and end of the academic year to assess self-reported global surgery knowledge and interest. Pre and post-comparisons were made using Chi-squared and Mann–Whitney <i>U</i> tests.</p> Results <p>Our global surgery curriculum consisted of weekly didactics, which were integrated into the 4-week organ system blocks and topics integrated into the research curriculum. A total of 25 residents completed the pre-survey (47% response rate). A total of 17 residents completed the post-survey (32% response rate). Median Global Surgery Knowledge was 2 (IQR 2–3) before curriculum and 2 (IQR 1–3) post curriculum (<i>p</i> = 0.705). Median Global Surgery Interest was 4 (IQR 3–5) before curriculum and 4 (IQR 1.5–5) post curriculum (<i>p</i> = 0.988). Median Global Surgery Importance was 3 (IQR 2–4) before curriculum and 3 (IQR 2-5) post curriculum (<i>p</i> = 0.546). There was no significant difference in global surgery career interest, with 45.83% interested in the pre-survey and 50% interested in the post-survey (<i>p</i> = 0.796).</p> Discussion <p>Due to insufficient trainee interest and competing educational priorities, the global surgery curriculum was restructured from an integrated curriculum for all residents to a multi-dimensional track for residents committed to global surgery.</p>