ECSACOG Training and Examination Preparation Meeting was conducted from 21–24 February 2023 at Kibo Palace Hotel in Arusha, Tanzania. The main focus areas of this meeting included the refinement of the membership training curriculum, the development of an E-learning platform and E-log book, and various assessment tools for the training programme. This is a very important activity of the college as we prepare to train more OB/GYN specialists in the ECSA region and beyond.