1 June 2023. A contract signing ceremony was held at Ziauddin University to celebrate the historic establishment of the first-ever Patient & Public Involvement and Engagement Group in a Clinical Trials Unit in Pakistan. This ceremony was the culmination of months of hard work to seek funding, gain approvals, design the project, and recruit team members to allow this exciting group to be launched. We are extremely grateful to Mahidol Oxford Tropical Medicine Research Unit for providing us with funding and to Ziauddin University for enabling us to carry out this work. In attendance at the contract signing ceremony were Dr. Timo Tolppa (co-lead of the project from the University of British Columbia), Dr. Madiha Hashmi (Head of the Department of Critical Care Medicine at Ziauddin University), Dr. Zulfiqar Ali Umrani (Director of the Office of Research, Innovation, and Commercialization), Prof. Dr. Syed Irfan Hyder (Vice-Chancellor of Ziauddin University), and Prof. Dr. Abbas Zafar (Dean of the Faculty of Health Sciences at Ziauddin University).