The SICOT-COFAS Foot and Ankle meeting in Suzhou, China from the 9th-10th August 2019 meeting was the first ever collaborative meeting between SICOT Foot & Ankle and any international foot and ankle society. The meeting was Co-Chaired by Dr. Gowreeson in his capacity as the SICOT Foot & Ankle Chairman. The meeting attracted over 1000 delegates and boasted invited key-opinion leaders from the American Orthopaedic Foot & Ankle Society, The Japanese Foot & Ankle Society and the Swiss Foot & Ankle Society. It was an excellent platform to share and learn the most recent advances in orthopaedic practice in the region. Dr. Gowreson delivered one of the key note lectures as well as a couple of instructional lectures.