Medical University-Sofia is a highly valued and recognized leader in its field of education in all 5 professional fields, as shown by the national ranking of universities in Bulgaria for the last 6 years. We are the leading Bulgarian University of Medicine, Dentistry, Pharmacy, Health and Public Health, based on the qualifications and experience of academic staff, our participation in international cooperation activities, number of articles published in national and foreign journals, as well as in the teaching of programs developed in accordance with EU standards.The management and staff of the Erasmus + department, incl. the Rector’s office, Deans of the four faculties, Head of the Department for International Integration and Project Funding, all academic coordinators and experts from the Erasmus+ Office did everything possible to play a leading role in the activities of the institution under the Erasmus + program as well. The realized number of physical mobilities under the project has been completed to almost 75% by the end of the academic year 2019-2020 despite the negative impact of the Covid-19 pandemic on the program - out of a total of 32 mobilities, we physically realized 26, and 4 of them were reported as actually administrated and completed but not phisycally realized. Only two mobilities remained unrealized as a result of the Covid-19 pandemic and the subsequent lockdowns around the world.The project includes 4 partner institutions from Japan, Morocco, South Africa and Jordan, with which MU-Sofia continued its cooperation outside the program, applying the basic principles to work as set out in the strategy for building partnerships in the field of innovation, research and actions in the direction of internationalization: https://mu-sofia.bg/wp-content/uploads/2019/12/STRATEGY-OF-INTERNATIONALIZATION-BG.pdfThe exchange program with Japan includes 6 student mobilities (3 outgoing and 3 incoming) and 6 teaching mobilities (3 outgoing and 3 incoming), of which 1 outgoing and 3 Incoming student mobilities have been reported as fully administered - all the necessary documentation has been collected, all the necessary procedures for selection of participants have been carried out by the Erasmus+ Commission at institutional level, thus the mobility is reported as successfully administered. This mobility program with Japan has helped to strengthen the long-standing cooperation between our two institutions, which has began 35 years ago. The main priorities of the joint work are research, innovation and sharing good practices in the field of surgery, biomedicine and cardiovascular diseases. The two universities have common goals for internationalization and improving the quality of education, in line with the priority areas of the EU Higher Education Modernization Program. Emphasis was placed on the development of new teaching methods through new forms of personalized learning, strategic implementation of free educational resources and virtual learning platforms. At the same time, the research work in the field of stem cells and cardiovascular surgery continued, the number of scientific publications, referenced and indexed in world secondary literature sources, increased.The mobility exchange with Morocco includes 4 teaching mobilities (2 incoming and 2 outgoing), with Jordan 8 teaching mobilities (4 incoming and 4 outgoing), as these mobilities were completed 100%, and the exchange had a positive impact on the relevant departments, which subsequently organized final courses and seminars, Erasmus + stories were published: https: / /stories.erasmus.mu-sofia.bg/. Particularly good results have been achieved in the field of the so-called Problem Based Learning and Project Based Learning, which are strongly used as a teaching method at the University of Jordan.The Mobility program with South Africa included 8 mobilities (3 incoming and 3 outgoing lecturers + 1 incoming and 1 outgoing PhD student) and contributed to the expansion of the activity in the field of Pharmacy and Pharmacognosy. The teachers upgraded their experience of teaching in a multicultural environment and exchanged good practices in the field of nanosciences and nanotechnologies, laboratory research and the development of interdisciplinary programs. Particular attention was paid to laboratory tests on the behavior of the African plant Kigelia africana, valuable for its healing properties. The teaching team returned from South Africa with a wealth of experience and information that was applied in subsequent laboratory tests of rare African plants for medicinal purposes.