A small Central American nation, long celebrated for its lush rainforests and premium coffee, has quietly engineered a monumental shift in its economic identity to become an indispensable global hub for health technology. According to a new analysis by the country’s Trade & Investment Promotion Agency, Costa Rica has firmly established itself as a dynamic and globally competitive center for the manufacturing and export of medical devices. This remarkable transformation reflects a deliberate, strategic pivot toward an economy driven by innovation and advanced, high-value-added production. The sector’s explosive growth is undeniable, with exports recording an astonishing average annual growth rate of 22% between 2020 and 2024. This rapid expansion culminated in exports reaching US$8.675 billion in 2024, securing the nation’s position as the 10th largest exporter of medical devices globally. Perhaps even more impressively, it became the world’s leading exporter on a per-capita basis, a testament to the sector’s profound economic impact. The momentum continued into the following year, with exports reaching US$9.199 billion by October 2025, a figure that had already eclipsed the total for all of the previous year.
The Pillars of a Manufacturing Giant
A Magnet for Global Investment
Costa Rica’s success is profoundly demonstrated by its ability to attract and retain significant foreign direct investment (FDI), effectively becoming the premier destination for medical device capital in the region. The nation now accounts for a staggering 52% of all new investment in the Latin American medical devices industry, a figure that underscores its competitive edge over its neighbors. On a global scale, it ranks as the third-largest recipient of FDI projects in this highly specialized sector, placing it among the world’s most trusted manufacturing locations. This magnetic appeal has drawn more than 100 international companies from powerhouse markets, including the United States, Germany, and Japan, to establish operations within its borders. These are not mere assembly plants; they are advanced facilities producing sophisticated technology critical to modern healthcare. The country’s industrial parks now hum with the production of specialized equipment for fields such as cardiology, orthopedics, and advanced surgical solutions, reflecting the high level of technical expertise and trust the world’s leading medical firms have placed in the nation.
This influx of global capital has cemented the medical device sector as a structural pillar of the national economy, reshaping its entire export profile. The industry now represents an incredible 48% of the country’s total goods exports, making it the single most important driver of its trade balance. The breadth and sophistication of this industrial base are reflected in its output; Costa Rica now ships 164 different medical device products to 88 international markets, showcasing a diverse and resilient manufacturing capability. An analysis of its export portfolio reveals a focus on high-demand, precision-engineered products. The largest category consists of needles, catheters, and cannulas, which account for 41.5% of the total. This is followed by a broad category of other medical devices at 30.8% and medical prostheses at 14.5%. The United States remains the primary destination for these life-saving products, receiving 66.5% of all medical device exports and highlighting the deep, strategic economic partnership between the two nations.
Cultivating an Ecosystem for Success
The foundation of this industrial achievement is a carefully cultivated ecosystem built on several key strengths. A primary factor is the country’s long-standing and well-regarded economic, political, and social stability. In a world of geopolitical uncertainty, this consistency provides a predictable and secure environment for long-term, high-capital investments, which is essential for the medical technology sector. Complementing this stable backdrop is a highly skilled and capable workforce. Decades of investment in education have produced a talent pool that is not only technically proficient but also adaptable and often bilingual, facilitating seamless integration with the operational standards of multinational corporations. Furthermore, the country has invested in advanced infrastructure to support complex manufacturing and logistics. This is powerfully augmented by a competitive renewable electricity matrix, which not only helps control operational costs but also aligns with the growing demand from global companies for sustainable and environmentally responsible supply chains.
Beyond these foundational elements, Costa Rica’s competitive advantage is amplified by a mature and specialized local supply chain that has developed over three decades of accumulated experience in advanced manufacturing. This robust network of local companies specializing in critical support services like tooling, sterilization, and precision assembly creates a powerful synergistic effect. It fosters crucial knowledge transfer between international firms and local suppliers, continuously elevating industry standards and capabilities across the board. This collaborative environment has been the engine behind the industry’s significant evolution, enabling a transition from basic manufacturing roles to the production of highly precise and technologically sophisticated medical products. The results of this evolution are stark: the number of high-tech medical exports originating from the country quadrupled in under a decade, a clear indicator of the deepening sophistication and value being added within its borders, driven by both international demand and strategic collaborations.
A Legacy of Strategic Achievement
Costa Rica’s ascent in the medical device industry was not a fortunate accident but a masterclass in strategic economic development. The nation systematically leveraged its inherent strengths, particularly its deep-rooted political stability and highly educated workforce, to create an irresistible proposition for global investors. By simultaneously and deliberately building a specialized industrial ecosystem, it attracted the world’s premier medical technology firms, proving that a smaller nation could compete with and even outperform larger economies. This journey marked a successful transition from simple manufacturing to becoming a critical, high-value node in the global supply chain for technologically complex health products. The powerful synergy created between a robust local supply chain and sustained international demand established a self-perpetuating cycle of growth and innovation. Ultimately, this transformation forged a resilient new pillar for the national economy and provided a compelling blueprint for how any nation could strategically pivot to high-value-added industries, securing a vital and respected place on the world stage.