We supported the European Association of Cardiothoracic Surgery (EACTS) providing issue management support and communications advice to the EACTS Council and Secretary General. Our work included advice on reputational matters and policy issues, including treatment options for patients. We worked closely with the Secretariat to promote the Association, its Annual Meeting and other education and fellowship opportunities. Our transformative approach to content led to significant reach and engagement levels on social media, helping to secure over 6,000 delegates at the 2019 Annual Meeting in Lisbon.