Purpose: Regional and rural health centres play a crucial role in serving their communities. Despite this, there is a lack of research originating from regional and rural sites. Thus, rural communities are underrepresented in medical research, perpetuating health inequity in these communities. Our study aims to identify the extent of this disparity with regards to vascular surgery research in Australia, and explore options for these regional and rural sites. Methodology: Articles published in the Australia and New Zealand Journal of Surgery (ANZJOS) from 2004 to 2024 were screened. Articles relevant to vascular surgery were included. The centres represented by the corresponding authors were recorded. The Modified Monash Model (MMM) was used for Australian centres to categorise them into metropolitan, regional, rural and remote sites.(2) Centres outside Australia were excluded. Results: 152 research articles were identified, and 12 international articles were excluded. Of the included articles, nine originated from MMM 2 regional centres and three from MMM 3 rural centres. All remaining articles originated from MMM1 metropolitan centres. With only 8.57% of articles originating from a regional or rural centre, this highlights a significant underrepresentation. Conclusion: To address challenges in research at regional and rural sites, solutions should be centred on key principles such as leadership and collaboration. Emphasising the community-wide benefits of research could result in greater allocation of resources by policy makers, and collaboration with rural health groups and university sites can increase access to research academia and facilities. 1.Versace VL, Skinner TC, Bourke L, Harvey P, Barnett T. National analysis of the Modified Monash Model, population distribution and a socio-economic index to inform rural health workforce planning. Aust J Rural Health. 2021;29(5):801-10.