We are seeking innovative contributions that explore:  the lived realities, challenges, and innovations that shape healthcare in rural communities. It’s about the resilience of healthcare workers, the ingenuity required to deliver services in resource-limited settings, and the voices of the patients whose experiences define the system. This theme invites abstracts that reflect on practical solutions, community-driven initiatives, policy implications, and the personal stories of those working at the heart of rural healthcare. Whether it’s addressing workforce shortages, leveraging technology for better access, or navigating the social determinants of health, we encourage submissions that capture the essence of rural health as it is truly experienced—on the ground, in the clinic, at the bedside, and beyond.