I n response to a Request for Applications to support meetings to develop a novel roadmap for the Department of Veterans Affairs with focus on gastrointestinal (GI) illnesses that primarily affect returning veterans, a team of GI experts was invited to address these medical conditions affecting Veterans. A meeting was held on May 17, 2019, in San Diego, California, focused at developing a roadmap for targeting gut-microbe interactions in service-related GI diseases of veterans. This meeting was funded by Office of Research and Development (Dr Sharma and Dr Iqbal) and led by Dr Pradeep Dudeja and Dr Jasmohan Bajaj. Initial discussion based on the talks from Drs. Bajaj and Dudeja focused on the current state of gut microbiome data in veterans' diseases and the overall significance of gut microbiome. It was agreed that, to date, there are no systematic, controlled, longitudinal, and sufficiently powered studies available on the role of gut microbiome in GI illnesses of veterans. Also, few studies examining the microbiome in Gulf War illnesses (GWI) veterans and traumatic brain injury (TBI) are underway. The meeting focused on the role of gut microbiome in (1) diarrheal diseases, pain, and the gut-brain axis, (2) liver diseases, and (3) inflammatory bowel diseases (IBD). The overall discussion was focused on the potential role of gut microbiome in some of the key veterans service-related diseases GWI, post-traumatic stress disorder (PTSD) and TBI and its connections to the 3 focus areas.