At the NASS/EUROSPINE conjoint session on ‘Perspectives in spinal care’ that took place during the Virtual Annual Meeting of EUROSPINE on Wednesday, 7 October 2020, Margareta Nordin, Romorantin, France, introduced the SPINE20 initiative to an international audience of health care professionals in the spinal field. It was very positively received that the SPINE20 initiative could contribute to improving spine health care at global level.