The conference, held at the Kampala Serena Hotel, brought together 350 delegates from eight countries, with delegates from Austria, Ethiopia, Ireland, Malawi, Uganda, United Kingdom, the United States, and Zimbabwe. It brought together clinicians, academics, human rights advocates, lawyers, clergy, researchers, social workers, policymakers, Ministry of Health officials and donors, representing over 100 organizations, to share lessons and adopt best practice for cancer and palliative care and followed on from the previous successful conference held in 2017 . Twenty organizations, both national, regional, and international had exhibition stands, the media were present and interpreters translated the conference into sign language. The conference was organized into six tracks: (1) capacity building; (2) service provision; (3) pediatrics; (4) health promotion and prevention; (5) policy and advocacy and (6) research and innovation. The scientific program included a variety of plenary sessions (15 papers plus panel discussions), 47 oral breakout presentations, 3 workshops, and 25 poster presentations over the 2 days. Presentations were given across the continuum of care, across the age span, for vulnerable and hard to reach groups, and while the main focus was on cancer care, the provision of palliative care for other conditions was also addressed. During the dinner, which celebrated the 20th anniversary of PCAU, Rose Kiwanuka, Country Director for PCAU shared the history of PCAU, documenting its evolution from being formed and housed at Hospice Africa Uganda, employing the first staff, moving to be hosted by the African Palliative Care Association (APCA), to renting their own offices on Makindye Hill, through to moving to their own facility in Kitende on the Entebbe Road. Dr. V. Walusansa, Deputy Executive Director UCI, congratulated PCAU on their 20 years and shared the latest achievements and plans of UCI. The Hon Dr. J. R. Aceng, the Minister of Health for the Republic of Uganda gave a short speech and encouraged everyone to enjoy the dinner and dancing. She also presented Awards from PCAU presented to individuals and organizations in recognition of their contribution to palliative care in Uganda. These awards went to Dr. J. Amandua for his commitment to palliative care while serving as a Commissioner in the Uganda Ministry of Health; and Mr. R. Segawa for his work in founding Rays of Hope Hospice Jinja. Awards were also presented to the Centre for Hospice Care (USA) for continuous partnership with PCAU, Dr. A. Ocero for his contribution to the spread of palliative care services in Uganda, Mr. T. Duku for his contribution to the founding of PCAU and Hospice Tororo for their great contribution to the spread of palliative care services in the Eastern Region of Uganda. Awards were also given to individuals from UCI for their distinguished work in the care of cancer patients in Uganda. The Celebration dinner was rounded off by music from Ziwuuna Band accompanied by dancing.