This Round Table discussion focuses on the upcoming 2024 World Conference on Traditional Chinese Medicine (TCM) in Beijing, exploring its evolution, challenges, and future prospects. The conference highlights the urgent need for innovative alternatives to endangered ingredients in TCM, stressing the importance of standardization and evidence-based practices to enhance global acceptance and trust. Participants will delve into TCM's historical roots, its holistic approach, and its integration into contemporary life, including applications in sports medicine. Additionally, the conversation will address ongoing efforts to create sustainable substitutes for rare and endangered materials, which are vital for the long-term sustainability of TCM practices.