The 2027 ECMO Symposium: Advancing Excellence in Extracorporeal Life Support will convene multidisciplinary experts to address emerging evidence, evolving technologies, and systems-based strategies influencing contemporary VA and VV ECMO practice. As the Inova ECMO program continues to mature as a national referral center with international recognition for excellence, educational needs have shifted from foundational management toward advanced clinical decision making, quality optimization, and regional systems integration. This activity is designed for physicians, advanced practice providers, nurses, perfusionists, respiratory therapists, and allied health professionals involved in adult and pediatric ECMO care. Content will focus on advanced management strategies, complication mitigation, ECPR systems design, post ECMO recovery, and quality benchmarking aligned with national standards. Building upon prior symposia that emphasized regional standardization, this program aims to enhance multidisciplinary coordination, refine referral practices, and improve patient outcomes across the continuum of extracorporeal support.