Effective surveillance strategies are needed for human and canine rabies elimination programs. Traditional surveillance involves systematically collecting and analyzing health information from official reports, hospital records, and laboratories. Innovative surveillance leverages non-traditional sources like social media and community reporting to detect outbreaks faster. A One Health approach integrating human, animal, and environmental surveillance is important for zoonotic diseases like rabies. Regional cooperation is also critical for rabies elimination given the risk of reintroduction from neighboring endemic countries. Surveillance guidelines and cross-border control strategies can support coordinated regional rabies elimination efforts.