From 2015 to 2019, Project IQ worked with service providers in selected countries to pilot multiple models of smart syringes meeting World Health Organization quality standards and specifications for use in routine voluntary medical male circumcision (VMMC) service delivery. This report summarizes provider and programme manager feedback from using syringes with resuse prevention (RUP) features in Zambia and syringes with both RUP and sharps injury prevention features in Mozambique and Tanzania. The feedback in this document is intended to orient VMMC programmes to smart syringes and help them plan for smart syringe introduction suited to local context.