On the occasion of the 3rd Baltic an North Sea Conference on Physical and Rehabilitation Medicine that was held in Hannover (Germany) on September 25-28, 2013, the International Society of Physical and Rehabilitation Medicine (ISPRM) signed an Agreement of Mutual Recognition with the Baltic & North Sea Forum on Physical and Rehabilitation Medicine (BNF-PRM). The document was signed by Professor Anthony Ward (representing ISPRM) and Professor Christoph Gutenbrunner (President of the BNF-PRM). The societies agreed “to cooperate and to coordinate their activities at international regional and national levels”. A special focus is on the support of communication among societies and their members, and the integration of neighboring regions. For the Baltic and North Sea region this includes, in particular, the promotion of communication and inclusion of societies in the Eastern European region that use the Russian as their main common language. Consequently, in the conference a session about the transition “from electrotherapy to comprehensive rehabilitation services” was included. Additionally, more detailed talks with colleagues from Russia and Ukraine took place.