This landmark event explores the critical role of MRI gradients pushed to the extremes of physics, engineering, and physiology in advancing our understanding of human health. Led by Dr. Roderic Pettigrew, PhD, MD—who proposed the first ultra-high gradient whole body MRI system, the Cima.X —this gathering brings together physicists, clinicians, clinical scientists, and engineers dedicated to advancing patient care. This inaugural meeting sets the stage for bold collaboration, paving the way for transformative advancements in next generation medical imaging.