We report on the 21st International Leprosy Congress held in Hyderabad in November 2022, with the theme "Better Knowledge -Early diagnosis -Improved care". It was hosted by the International Leprosy Association, with support from the Indian Association of Leprologists; the Indian Association of Dermatologists, Venereologists and Leprologists; and the Indian National Elimination Programme, as well as the World Health Organisation and ILEP members.This hybrid Congress had both physical and virtual sessions with large number of symposia, lead talks, paper presentations, poster and short video presentations.There were 8 plenary sessions, 72 faculty abstracts, 423 oral papers, 20 papers given different awards and 457 e-posters. Topics covered were clinical aspects (234), diagnostics (6) disability and rehabilitation (96) epidemiology and control (198) laboratory aspects (140), miscellaneous (49), programmatic management (8), rehabilitation, both social and physical (6), social aspects (132), surgery (1) and therapeutics (57). There were 1050 physical delegates and 450 people attended electronically. Delegates came from 56 countries with an age range of 25-75 years.The abstracts are available at https://ilc.abstracts.mediknit.org/ (https://doi.org/10.57202/ ILC2022).