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The cardiac electrophysiology team at the Division of Cardiology and Department of Internal Medicine at the American University of Beirut Medical Center (AUBMC) performed on Thursday, August 9, 2018 the first leadless pacemaker implantation in Lebanon (Figure 1). The procedure which took around 15-20 minutes was well-tolerated by the patient who was discharged within 24 hours. This world’s smallest wireless pacemaker is an FDA-approved one-piece, pill-sized device that is more than 90 percent smaller than traditional pacemaker designs which date back more than 50 years. Demonstrating exceptionally high safety and efficacy, the state-of-the-art technology has been increasingly used in the US and Europe and has been newly introduced in Lebanon and very few other countries in the region. The procedure was performed by Dr. Marwan Refaat and Dr. Bernard Harbieh, cardiologists/cardiac electrophysiologists at AUBMC and assisted by Dr. Mikhael El-Chami, cardiologist/cardiac electrophysiologist at Emory University Medical Center.