This study analyzed 55 foot-and-mouth disease virus (FMDV) isolates from Turkey between 1999-2020 to monitor the evolution of serotype O. Two genotypes were identified: O/ME-SA/Panasia-1 circulated 1999-2006, and O/ME-SA/Panasia-2 has circulated since 2006 with six subtypes. Comparison of amino acid sequences found changes between genotypes and subtypes, including some in the antigenic G-H loop region. Endemic countries need to share timely data to understand outbreak dynamics and reduce future risks. Vaccine strains were updated to match circulating strains.