A pair of consensus development conferences held in the United States and in Sweden presented an unusual opportunity for a cross-cultural study of technology transfer The two conferences were based on the same topic and the same set ofprocedures, providing a chance to test the replicability of the concept of the consensus development conference in different cultures with different health care systems. The purpose of the study was to compare the two experiences, addressing the following questions (I) Can the consensus development process operate across cultural differences and still yield similar results ? (2) Do differences in the health payment system effect the consensus development process ? The study concluded that the consensus development conference is an effective technology transfer procedure both in the United States and in Sweden. The process was effective regardless of differences in language, culture, and health care delivery systems Conclusions reached by consensus development panels regarding the safety and efficacy of the technology were similar Inclusion of issues of need and cost at the Swedish conference expanded the agenda beyond that of the U S conference, however the consensus development process remained the same