In 2022, as Bhutan opened back up to visitors, the 4th International Conference on Vajrayana Buddhism in Bhutan was held.

Ngakma Mé-tsal was again invited to speak, this time on Promise and Process: contemporary application of Tantric Samayas.

Ngakma Mé-tsal Wangmo's talk on 'Promise and Process: contemporary application of Tantric Samayas.'