The third Guidelines conference of ER-WCPT was held in Amsterdam prior to the conference of the Guidelines International Network (G-I-N). The theme of the conference was the adaptation, adoption, and implementation of existing guidelines. The aim was to develop strategies for ER-WCPT members to select and adapt existing guidelines for their local context, followed by implementation of the guideline. The theme was discussed based on examples of guidelines for Osteoarthritis and Stroke.