The BISOM 2022 Annual Scientific Meeting was held at the Europa Hotel, Belfast on the 31st March - 1st April 2022 with the StR training forum being held on 30th March. This was the first annual meeting of the society since 2019, taking place as a hybrid event for the first time. The meeting included excellent talks on a variety of topics, all highly relevant to the specialty. BISOM wishes to thank the Belfast organising team for delivering an excellent conference and to all those who attended, both in-person and online. A full event write-up will follow.