Many nations mandate that international manufacturers appoint a local authorized representative (LAR) within the country if they opt against establishing a foreign subsidiary. This representative, also referred to as the in-country representative, local agent, or marketing authorization holder, assumes the regulatory liaison role for the medical device or in vitro diagnostic (IVD). The LAR serves as the foreign manufacturer's representative in all interactions with local medical device authorities, handling tasks such as product registrations, import licenses, distribution licenses, change notifications, and post-market surveillance, including managing adverse events and product recalls.