The AUB GRADE center recently coordinated the Adaptation of Rheumatoid Arthritis Guidelines in Brazil. The objective of this project was to adapt the 2015 American College of Rheumatology (ACR) Rheumatoid Arthritis (RA) guidelines for the Brazilian context. The project was a collaborative effort between Hospital Moinhos de Vento and the Brazilian Ministry of Health. It used the ‘adolopment’ methodology and was based on the model of adaptation of the same guidelines followed for the Eastern Mediterranean Region. Ms. Lara Kahale, the coordinator of the AUB GRADE center, participated in the two guideline panel meetings that took place in Porto Alegre Brazil on the 14th and 15th of November 2017 and 17th and 18th of May 2018.