It is a great honour to be invited to the 39th Annual Academic Congress 2023 of the College of Anaesthesiologists and Intensivists of Sri Lanka with the topic “Way Forward through Outcome Analysis and Resource Management”. This exactly reflects the reality in Sri Lanka. As a country with limited resources, Sri Lanka impressed me already 10 years ago by their C-skills communication, collaboration, and consensus, which are essential for implementation of new concepts and improvement in patient outcomes. Accordingly, Sri Lanka reached in 2010 the WHO Millennium Goal #5 to reduce maternal mortality by 75%. Their strong motivation to use the limited resources in the best way made this possible. I am very happy to have good friends and colleagues in Sri Lanka since my first invitation in 2013, and I am proud that I may have contributed a little bit to their straight way forward to better patient care.