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The International Hearing Protector Fit-Testing Symposium (IHPFTS) occurred August 18-19, 2023 in Dallas, TX. It was the first gathering of an international audience where fit testing end users, occupational health professionals, audiologists, safety professionals, industrial hygienists, researchers, policymakers, and product manufacturers met to discuss the state of the science and pathways forward for hearing protector fit testing (HPFT) in occupational settings. Specifically, the goal of the IHPFTS was to advance the evidence base regarding the role of HPFT in an effective hearing loss prevention program. This goal was addressed over the span of a two-day agenda that included three keynote speakers, twenty-one podium presentations, seven poster sessions, and two working lunches. The information provided in this paper discusses the topics presented by the keynote speakers, and the submitted abstracts for both the podium and poster presentations. Also discussed are the items that were identified as a call to action for future efforts in this topic area. [ABSTRACT FROM AUTHOR]