Latvia, being one of the eu Member States, has an obligation to implement the rules stated by the Directive 2011/24/eu on Patients’ Rights in Cross-border Healthcare (hereinafter — the Directive) before 25 October 2013 in existing national legislation and practice. Implementation was carried out under pressured circumstances. A National Contact Point has been established, information is provided for patients in Latvian and to some extent in English, the Medical Treatment Risk Fund will start operations to provide compensation for harm, and the restrictions and procedure for prior authorisation have been stated. The need to secure quality of care and patient safety and well as privacy protection are the most challenging tasks for Latvia. It can be concluded that some progress in patients’ rights can be achieved, but it is doubtful if patients’ mobility will be stimulated.