 The Middle East and North Africa, MENA, region faces a significant health care challenge with an age-standardized stroke rate of 87.7 per 100,000 population, which is subject to increase due to the shift in morbidity from infectious diseases to non-communicable diseases. Stroke specialists from 16 countries filled an online survey that revealed gaps in stroke services, including the lack of equal availability of stroke units and low rates of revascularization therapy administration. Further field studies are needed for a more accurate determination of the status of stroke services in the MENA region. This article was authored by Haini Araf, Navain El Nahas, Suhail Abdullah Alran and others.