As the first of its kind, Operation Smile Egypt had succeeded to accomplish a sophisticated PACU Physician and Clinical Coordinator conference from 10 to 13 October 2024 in Cairo capital in which two teams of future PACU physicians (13) and future Clinical Coordinators (17) had attended this conference from the five MENA countries: Egypt, Morocco, UAE, Jordan and Palestine. Ten international instructors from the USA, HQ, Morocco and Egypt were responsible for the concerned trainings in these two programs which featured hands-on workshops, lectures, and simulation sessions designed to improve the participants’ confidence and competency in surgical and emergency care.