The Gas Insufflation Less Laparoscopic Surgeries [GILLS] are a great boon to the Rural Surgeons for many reasons. It is possible under the easily available Spinal Anesthesia. It is relatively easier to learn. It is less expensive and offers advanced procedures like Single Incision Laparoscopic Surgeries to the poor and the marginalized. In addition to all these it is safe.
The Association of Rural Surgeons [ARSI] recognized these benefits to rural surgeons and has taken the following steps to promote GILLS.

1. The ARSI gave the prestigious Antia Finseth award
2. The ARSI formed the Project GILLS to promote GILLS with the headquarters at Dimapur in Nagaland