The simulation exercise on Foot and Mouth Disease (FMD) conducted by the Nordic-Baltic Veterinary Contingency Group (NBVCG) took place in Vilnius, Lithuania. The aim of the simulation exercise was to prepare and conduct an FMD emergency vaccination plan and exit strategy, as well as to prepare and conduct the stamping-out of large herds. The evaluation report recommended that the experience gained of killing and disposal from the ASF outbreak in the Baltic countries should be shared with the other countries. In-country training, workshops and simulation exercises are recommended in order to maintain a high level of awareness of FMD, contingency plans and the ability of stakeholders to respond. It was further recommended that a detailed vaccination implementation plan should be developed.