Italy’s health industry is one of Europe’s most sophisticated and reflects the country’s high per capita income and well-established medical infrastructure. The nation’s demand for advanced medical equipment is robust, making Italy the fourth largest market in Europe for medical devices, trailing only behind Germany, France, and the UK. With a market size valued at approximately $9.8 billion USD in 2020, Italy’s medical device industry is an essential player in the European healthcare landscape. The Italian medical equipment market is diverse, comprising 4,546 companies that include producers, distributors, and service providers. Of these, 42% are distributors, 53% are producers, and the remaining 5% are service providers. Together, they employ over 112,500 people. Despite this strong local industry, the market heavily relies on imports, with $6.7 billion USD worth of medical devices imported in 2020 alone. The largest segments in this market include consumable products (19.7%), diagnostic imaging (16.7%), and patient aids (15.2%). The impact of the COVID-19 pandemic on Italy’s healthcare industry has been profound. While there was a surge in demand for personal protective equipment (PPE) and ventilators, the market for other medical devices, particularly in the orthopedical and dental sectors, saw a decline. This shift underscores the broader trend in healthcare toward adaptability and responsiveness in times of crisis. Italy’s healthcare system is predominantly public, with over 75% of medical device sales made to public hospitals. The government remains the primary purchaser of medical equipment, shaping market dynamics significantly. Despite having a strong local manufacturing base, Italy’s dependency on imports is notable. Key suppliers include The Netherlands, Germany, Belgium, France, China, and the United States. In 2020, the US contributed 5.3% of Italy’s medical device imports, valued at $367 million USD, with diagnostic imaging and dental aids being major import categories.