 This scoping review identified the barriers to implementing the World Federation for Medical Education, WFME, accreditation standards in low and middle income countries. The review found that the most common barrier was lack of resources, followed by lack of infrastructure, lack of qualified personnel, and lack of political support. Other barriers included lack of awareness about the importance of accreditation, lack of funding, and cultural differences. This article was authored by Ayesha Rafi and Muhammad Idrees Anwar.