At the 2010 Global Symposium on the Dietary Treatments for Epilepsy and other Disorders held in Edinburgh, there was an opening evening 75-min session to highlight the similarities and differences in the use of the ketogenic diet worldwide. Speakers from seven distinct regions of the world briefly presented their successes as well as challenges in using dietary therapies. Additionally, future clinical and research goals for each area were discussed. This article summarizes these talks and the use of the ketogenic diet worldwide.