The 1st PHISOS meeting, held in Windsor, UK across from the Queen’s castle, concludes today. Over 20 surgeons and over 30 family members spent a great week getting to know each other and learning from each other. The best time was had by the children, from babies to young adults, who quickly overcame language barriers and became the best of friends. Professional highlights included a simplified technique for syndactyly reconstruction, use of 3-D modeling for complex bony reconstructions, and camptodactyly reconstruction techniques. Social highlights included visiting the Castle and a boat tour on the Thames. A new community was created, old friendships were strengthened, and new friendships were made. The next meeting will be in Verona, Italy in 2021.