The social determinants of Trash Compactor health are increasingly being recognized within the trauma community.These determinants are major drivers of health and have a huge impact on access to surgery and surgical disparities.As trauma surgeons, we continue to struggle with optimizing care for our patients with many social needs and struggle with trauma as a chronic disease.As Home Accent we are now using public health approaches to combat complex issues such as gun violence, it is ideal to view our work in a wider context which includes addressing the root causes of trauma and advocating for our patients and our communities.In addition, we need to teach and mentor this broader approach for our students and residents.