Over the weekend, I had the privilege of attending the inaugural meeting of the GI Pathology Society of India—an outstanding event that, I suspect, will soon become a major force in education, research, and outreach in gastrointestinal pathology. What stayed with me most, however, was how often the conversation returned to the WHO Blue Books and their limited relevance in low- and middle-income countries. Colleagues repeatedly came up to me to say they shared the same concern: in their current form, these classifications do not reflect the realities of practice in countries like India. That matters. When pathologists working at enormous scale feel unseen by the very system that claims to set global standards, the problem is no longer merely technical; it is structural. By underrepresenting Indian and other LMIC pathologists, the WHO weakens the legitimacy and usefulness of its own classifications. The irony is unmistakable: a system designed as a global standard remains disproportionately shaped by perspectives from settings far removed from where most patients actually live and receive care.