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Research projects, initiatives and conferences that include patients as partners rather than as participants are becoming more common. Including patients as partners (what we will call 'patient partners') is an approach called patient engagement or involvement in research, and we will call it patient engagement throughout this paper. Patient engagement moves traditional health research conferences and events to include a broader audience for their knowledge exchange and community building efforts, beyond academics and healthcare professionals. However, there are few examples of conferences where patients are given the opportunity to fully lead. Our conference went beyond patient engagement – it was patient-led. Patient partners conceived, planned, and decided on all aspects of a virtual conference. We present the work and processes we undertook throughout 2023 to create and produce a free conference called "PxP: For patients, by patients" or PxP for short, with a tagline of "Partnering to make research stronger." PxP was patient-led and about patient engagement in research rather than a specific disease or condition. PxP was supported by the Canadian Institutes of Health Research Institute of Musculoskeletal Health and Arthritis. The PxP website, known as the PxP Hub, now houses the conference recordings along with resources about patient engagement in research. These resources were recommended by the PxP Steering Committee members, speakers, and others who attended the 2023 conference. Here we lead you through how the idea for PxP was generated; how the international patient partner Steering Committee was convened and supported; how PxP was brought to life over nine months; the PxP 3-day event and feedback collected to improve future efforts; trade-offs, challenges and learnings; and resources required to support this type of event. We close with what the future holds for PxP in 2024 and beyond. It's time to elevate patients into leadership roles for conferences and events, and we encourage you to adopt the PxP ethos by using or adapting our approach and resources to support your opportunity. Plain English summary: Patients are often included in health research as study participants. Involving patients as partners in research projects or conferences is becoming more common. This approach is called patient engagement or involvement. Traditional health research conferences are by and for academic researchers or healthcare professionals. These events rarely include patients as the main attendees or in the planning. While some research conferences are starting to use patient engagement, few are designed and led by patients. We share our work on a conference led and designed by patients. In 2023, our team co-created a free conference called "PxP." PxP is short for "For patients, by patients." The conference tagline was "Partnering to make research stronger." PxP was focused on patient engagement in research rather than any one health problem. PxP was supported by the Institute of Musculoskeletal Health and Arthritis. This is one of 13 Canadian Institutes of Health Research. A free online PxP Hub now hosts all of the conference recordings and many resources. We share how the idea for PxP came about, how the international patient partner Steering Committee came together and was supported to plan and bring PxP to life, the PxP conference and feedback, challenges and what we learned, and resources needed. It's time for patients to have a leadership role for conferences and events. Through sharing this example, we encourage others to adopt the PxP ethos. [ABSTRACT FROM AUTHOR]