Piet Lesage started his career marketing and selling imaging solutions for the medical ultrasound OEM market a little over 30 years ago. Ever since he has been actively expanding the international presence of businesses. He has assisted European and US companies grow their presence outside their borders finding partners, opening subsidiaries and acquiring and integrating companies, and has developed, and negotiated many complex million-dollar business deals in Asia, Europe, and the Middle East. He has often dealt with highly regulated industries and has been exposed to very sensitive situations. At one time having to self-declare a non-conformity to the US government. At another when a major customer violated the Foreign Corrupt Practices Act. Nowadays, he helps US MedTech companies expand overseas, and vice versa, foreign companies enter the US market. He is particularly focused on the intersection of regulatory, reimbursement and commercial strategies.