This symposium brings together triallists, clinicians, patients/ public, bioethicists, and health regulators to share perspectives and experiences of staged-and-tailored approaches to informed consent for individually randomised pragmatic trials (including those using the Trials within Cohorts (TwiCs) design approach). The objectives are to share and explore what is known about the use, acceptability and efficiency of staged-and-tailored approaches to informed consent and to provide a forum for discussion. Outputs from this symposium will support the future development of guidance on staged-and-tailored approaches to informed consent for pragmatic trials. This one-day free online symposium will include invited keynote talks interspersed with discussions, mini presentations and posters.