Security policy reality in Europe has changed both fundamentally and permanently – and as one of the results the European Union has recently responded to these changes with the PESCO (Permanent Strucure Cooperation) initiative. The aim here is to intensify multinational cooperation between the medical services at the European level. Multinational cooperation is more important than before, and the yearly publication EUROPEAN MILITARY MEDICAL SERVICES covers the need to be present and to report about the devlopment of this cooperation.