The Central Bank of the Republic of Kosovo published an account of a high-level session at its Regional Conference on Crypto-assets and Digital Money, bringing together the International Monetary Fund and regional central banks to discuss policy and regulatory frameworks in a changing financial environment. The discussion focused on how crypto-assets, digital forms of money and broader financial innovation are affecting financial stability, payments, supervision and market integrity, with participants stressing the need for clear, proportionate and harmonised frameworks built on risk-based regulation, effective supervision and consumer and investor protection. Presentations from the central banks of North Macedonia, Kosovo, Montenegro and Albania covered recent developments in digital finance, payment system modernisation, stronger supervisory approaches and alignment with international and European Union standards. A later IMF-moderated panel examined risks to financial stability and monetary policy transmission, cross-border regulatory coordination, oversight of stablecoins and crypto-asset markets, cyber security, anti-money laundering and counter-terrorist financing risks, and the possible implications of central bank digital currencies.