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The initiative addresses the decreasing funding for surgical trials within cooperative groups, exacerbated by the impact of COVID-19. Despite efforts by the General Thoracic Surgical Club, gaps persist in achieving broad participation and community involvement in surgical studies. The speaker emphasizes the need for a simplified infrastructure to minimize barriers and facilitate prospective multi-institutional studies. The Trials Network website is live, offering protocols and information to interested participants. Ground rules prioritize Principal Investigator (PI) leadership, liberal review processes, and the option for a Central IRB function.