An excellent exchange of ideas and a productive partnership among the International Diabetes Federation, the Oman Society for Lipid & Atherosclerosis, and the International Atherosclerosis Society came alive during the 20th International Symposium on Atherosclerosis, held from December 4 to 6, 2024, in Muscat, Oman. Engaging in direct dialogue is the most effective way to gain knowledge and foster sustainable action and initiatives.