We are especially thankful to the Saudi Society of Internal Medicine and King Abdulaziz administration and the College of Medicine for their tremendous, continued support and contribution. Their support and encouragement eased all difficulties and enabled us to arrange and organize this conference for the 11th time. This conference has been a cornerstone for Rheumatologists in the whole area to attend and to follow the recent updates in rheumatology. Our dear speakers and chairpersons are well-known figures from around Saudi Arabia and the world. Their hard work is the main reason for our success. The leadership vision for 2030 is the strongest reason for us to move forward and unite for the same noble vision. Finally, the contributions of the pharmaceutical companies are appreciated, specially the platinum sponsors who believed in us and in our goals and in our institution and in our speakers.