Medicine has long been a global profession. Attendees at international medical conferences travel across the globe to learn, share research, and exchange experiences. In clinical practice, the global medical community confidently develops, reviews, and accepts international guidelines. Recruitment sites for multicentre clinical trials span continents and geographical boundaries and the culture and acceptance of global research and clinical communities is well established. Although there are global initiatives to address liver diseases, there has not been a corresponding shared vision, response, and drive to unify the training and education of future hepatologists to adapt to the specialty’s rapidly changing landscape, transcend borders, and benefit populations worldwide.