The Speaking Out advocacy toolkit was adapted for use in the MENA region through a participatory process with 7 associations from the region. Two trainings of trainers were held in Morocco in 2011 and 2012 to build advocacy capacity among MSM and transgender organizations. Breakthrough advocacy initiatives were funded in Lebanon and Morocco. Participants identified a need to establish a regional MSM platform or network for the MENA region to facilitate continued information sharing and advocacy efforts. The Arab Foundation for Freedoms and Equality in Lebanon was selected to host and support the establishment of this MENA MSM advocacy platform.