There is a strong demand for virtual reality (VR) to bring quality healthcare to underserved populations. This paper addresses this need with the design and prototype of SURVIVRS: Surround Video-Based Virtual Reality for Surgery Guidance. SURVIVRS allows a remote specialist to guide a local surgery team through a virtual reality (VR) telepresence interface. SURVIVRS is motivated by a need for medical expertise in remote and hard-to-reach areas, such as low-to-middle-income countries (LMICs). The remote surgeon interface allows the live observation of a procedure and combines 3D user interface annotation and communication tools on streams of the surgical site and the patient vitals monitor. SURVIVRS also supports debriefing and educational experiences by offering the ability for users to watch recorded surgeries from the point of view of the remote expert. The main contributions of this work are: the feasibility demonstration of the SURVIVRS system through a rigorous 3D user interface design process; the implementation of a prototype application that realizes the proposed design; and a usability evaluation of SURVIVRS showing that the tool was highly favored by users from the general population. The paper discusses the next steps in this line of research aimed at more equitable and diverse access to healthcare.