Choosing Wisely International Roundtable 2024 took place in Barcelona on 9 and 10 October, coordinated by Canada and attended by representatives from more than 20 countries around the world.
The international meeting was attended by Sandra Vernero, Marika Werren (Slow Medicine/Choosing Wisely Italy), Paolo Francesconi (Regional Health Agency of Tuscany) and Chiara Marini (University of Florence) for Italy.

Sandra Vernero gave a presentation entitled Climate Sustainability Work in Choosing Wisely Italy, which addressed the issues of Green Choosing Wisely and green recommendations and illustrated the Italian project to raise awareness among professionals and citizens about the damage caused by plastic and to reduce its use in the healthcare sector as well as the project of the city of Bergamo to improve environmental sustainability.
Chiara Marini presented the de-implementation project of the Regional Health Agency of Tuscany, coordinated by Paolo Francesconi, aimed at reducing unnecessary prescriptions of health services.

The following topics were discussed in the meeting.
• Climate sustainability and appropriateness of care
• Research on de-implementation: state of the art and future prospects
• Approaches to promote patient involvement

Dedicated sessions were organized for each topic, in which the projects and initiatives promoted by the various countries were presented and working groups were organized to explore new ideas, analyze opportunities and reflect on the critical issues to be addressed.