Delegates from around the world share their reflections from the 2022 GCOS meeting in Toronto, Canada October 5-7 including: Kerry Skurka, RN (USA), Trent Williams, RN (Australia), Christine Brezden-Masley, MD (Canada), Stefanie Mundnich, MD (Chile), Ana Barac, MD (USA), Dan Gilon, MD (Israel), Zaza Iakobishvili, MD (Israel), Edith Pituskin, PhD (Canada), Anecita Fadol, PhD (USA), Giselle Melendez, MD (USA), Juliana Salas Segura, MD (Costa Rica), Alex Lyon, MD (United Kingdom), Karlis Trusinskis, MD (Latvia), Trishun Singh, MD (South Africa),  Susan Dent, MD (USA), Teresa Lopez-Fernandez (Spain)