The European seabass (Dicentrarchus labrax) and gilthead seabream (Sparus aurata) are key species in marine aquaculture, cultivated in both EU and North African/Levant Mediterranean regions. Production disparities between these areas emphasize a significant reliance on trade for juveniles, feed, and other resources, posing notable biosecurity risks. Addressing shared health concerns across the Mediterranean requires a regional approach to ensure successful management. A recent workshop delved into pivotal topics, including insights from concluded Horizon 2020 projects, effectiveness of nutraceuticals in combating parasitic infections, legal considerations surrounding autogenous vaccines, updated knowledge in betanodavirus infections, and biosecurity measures in Mediterranean aquaculture. Discussions also explored upcoming challenges such as sustainability in cage-based production, impact of climate change, enhancing diagnostic capabilities, fortifying biosecurity measures, advocating for education, and fostering networking opportunities.