Purpose Nepal is a Low Income Country in South-Asia. In Nepal, breast cancer ranked first in female in 2022 as per Global Cancer Observatory(GLOBOCAN) (1) and Nepal Health Research Council. Bir Hospital is a Nepal government run academic hospital under National Academy of Medical Sciences in Kathmandu, Nepal. Breast cancer is the most common cancer in Bir Hospital. Methodology This is an observational study of LIC global collaboration model for need based local initiative of breast surgery capacity building at Bir Hospital in Nepal supported by RACS Global Health scholarships. RACS Katherine Edyvane Scholarship in Humanitarian Surgery has supported a surgeon in Bir Hospital for breast surgery training at Mater Hospital, Brisbane from July to August 2025 . Results There are 132 cases of breast cancer treated in Bir Hospital maintained in database for outcome study. Following the RACS Katherine Edyvane scholarship training, the monthly breast cancer Multidisciplinary team(MDT) meeting has started in Bir Hospital as an initiative for shared decision making for breast cancer patients. There is improvement in breast cancer patient care by co-ordinated breast cancer treatment with effective communication among multi-disciplinary team members along with continuation of breast cancer surgery outcome research. There is an initiative to develop multidisciplinary breast cancer treatment clinical protocol in Bir Hospital. Conclusion The Bir Hospital LIC global collaboration model in Nepal for breast surgery capacity building has been successful in support with RACS Global Health program. This has led to uniform standard of breast cancer care by multidisciplinary team meetings and initiating standard breast cancer treatment protocols. This has also initiated interactions between Australian and Nepalese surgeons for further regional collaboration for breast surgical practice, training and research. References 1.https://gco.iarc.who.int/media/globocan/factsheets/populations/524-nepal-fact-sheet.pdf