On 10 November 2023 a  joint SINUG EAU WFIPP session with Spanish patient representatives from Spanish Prostate Cancer Association, Chronic Pelvic Pain Association Medulla Lesions Association and of course WFIPP took place. The meeting of like minds where the clinical and patient perspectives join forces to address the challenges and session objectives of how to introduce true shared decision-making and address unmet medical needs using new technologies such as AI and so much more. The ultimate goal of our joint 4 C’s project.