This document discusses challenges and opportunities for medical association congresses to optimize deliverables. It notes the need to balance stakeholder needs while complying with various regulations on sponsorship, payments to healthcare professionals, and self-funding. Inconsistencies in international, regional, and local compliance rules complicate matters. Suggested strategies include considering locations that control costs, ensuring events focus on education over leisure, and exploring hybrid or new meeting formats and markets to address funding limitations and self-funding preferences. The panelists welcomed discussion on practical ways to address these issues.