Cardiac resynchronization therapy (CRT) has become an established treatment modality for patients with advanced heart failure (HF) and left bundle branch block (LBBB). Despite CRT being available for over 2 decades in high-income countries, it has only been performed in the Republic of Moldova in recent years. In this brief report, we discuss the development of a CRT program for HF therapy and our outcomes. The Republic of Moldova is a country in eastern Europe with about 3 million inhabitants. The health care system is organized according to the principles of universal access to basic health services assuring equity and solidarity. This public health care service was established in 1994 and is financed from both the state and individuals through a mandatory health insurance mechanism. Moldova now has a range of public and private medical facilities, public agencies, and authorities. The health care institutions could be primary, secondary, or tertiary level. Medical facilities at the tertiary level provide specialized and highly specialized medical care for the whole population of the country. In order to obtain free access to some specialized care, health care providers must be contracted with the National Health Insurance Company (NHIC).1 This is true regardless of state or private tertiary center.