The ECR represents a unique mixture of tradition, innovation and entertainment. Every year the Congress Committee and the ESR Office try to introduce some innovations to attendees. Some of these innovations are quite big and remarkable, others could be quite small and almost invisible. For example, let’s look back and recall the history of the Electronic Poster Online System (EPOS) at the ECR. In 2003, when EPOS was born and launched for the first time, there were some sceptics saying that it was a step back compared to sessions with traditional paper posters. But EPOS turned out to be extremely successful. Today we cannot imagine the ECR without EPOS. And after more than 10 years of EPOS, we consider it a unique online scientific and educational database. Seeing this success, other medical congresses have started to follow the new standard of poster presentations established by the ECR.