The participation of some of us in the successful reform of the Spanish Health Service, with the creation of our National Health System, and in the implementation of innovative management models in healthcare institutions, as well as the interest that this formidable change has sparked in many countries, have led us to consider the need to internationalise our consultant work. Thus, we set out on our path with the creation of MESTESA América in Santiago de Chile and are now positioning ourselves in the Dominican Republic, while we consider reasonable expectations in other North American and Middle Eastern countries. Today, our goal is to have a presence in a globalised world through the internationalisation of our firm.