The third meeting of the PSMA Open-ended Technical Working Group on Information Exchange (TWG-IE) was held in Rome, Italy, from 13 to 14 December 2022. The TWG-IE commended the advances made in the development of the Global Information Exchange System (GIES), provided recommendations for the refinement of the system and recommended that GIES should be operationalized in 2023 following the approval of Parties at their fourth Meeting.