This study aims to examine the use of Twitter at leading gynecologic surgery society meetings and the impact of Twitter activity on ultimate journal acceptance. We examined oral presentations at the national conferences of the American Urogynecologic Society (AUGS), the Society of Gynecologic Surgeons (SGS), and the American Association of Gynecologic Laparoscopists (AAGL) from 2017-2019. We accessed the final program on each society's webpage to determine the oral presentations. We excluded video presentations. We then queried PubMed, Google, and GoogleScholar for the same oral presentation title and author names to determine whether the paper had been published. If the paper was published, the name of the journal and Altmetric scores were collected. Twitter profiles were determined based on a Google Search of the presenter or authors' names and the word "Twitter." We then queried Twitter using the collected profiles and hashtags pertaining to each conference (e.g., #SGS2019, #AUGSIUGA2019) to find related tweets. Presentation characteristics were analyzed using descriptive statistics. Comparisons were made using Kruskal-Wallis, Chi-square and Spearman Correlation tests. N/A. N/A. N/A. Final review included 1,020 oral presentations (361 at AUGS, 131 at SGS, 528 at AAGL). Publication rate was compared between tweeted vs. non-tweeted oral presentations (Table 1). 144 articles with tweets had a statistically significant acceptance rate of 56.2% compared to 42.4% in 876 non-tweeted articles (p= 0.003). The Altmetric score showed a small but significant spearman correlation coefficient of 0.17 with number of tweets (p= <0.001). Tweeted presentations had an average Altmetric score of 6.3 (SD=17.3) compared to 3.7 (SD=17.8) in non-tweeted presentations (p value <0.001). Tweeted oral presentations when compared to non-tweeted oral presentations at national gynecologic meetings are associated with higher rates of journal publication and Altmetric scores. [ABSTRACT FROM AUTHOR]