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In this Vein and Lymphatic University EMPOWER ALL session, Dr. Meredith Bar (Canada), Dr. Shoaib Padaria (India), Dr. Jorge Ulloa (Colombia), Dr. Erasto Aldrett (Mexico) and Dr. Sarah Onida (United Kingdom) review global pathways for training in venous disease. The panel analyzes how health‑system structure, regulatory frameworks, and specialty‑specific traditions influence exposure to superficial and deep venous pathology. Presenters compare vascular surgery curricula, describe challenges related to ultrasound access, and outline practical approaches to building competency through mentorship, private‑clinic experience, dedicated venous courses, and international fellowships. Moderators Dr. Rebeca Reachi (Mexico) and Dr. Lina Vargas (USA) guide a focused discussion on regional differences, educational gaps, and strategies for expanding access to high‑quality venous care. Key learning points: • Understand how differences in national health systems and regulations affect access to superficial and deep venous interventions and training opportunities. • Recognize the limited venous exposure in traditional vascular surgery programs and its impact on early‑career competency. • Identify practical pathways to obtain advanced venous skills, including targeted rotations, pre‑ and post‑fellowships, ultrasound training, and hands‑on procedural courses. • Evaluate logistical, economic, and medico‑legal considerations influencing who performs venous procedures across different regions. • Appreciate the role of mentorship, multidisciplinary partnerships, and international collaboration in developing comprehensive venous practices. This session provides practical, region‑specific insights to help clinicians expand their venous expertise and strengthen venous care pathways within their own health systems.