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This study provides a summary of celiac disease (CD) epidemiology in Italy, canteens distribution and training courses for food service operators (FSOs) analyzing 2007-2017 data. Furthermore, behavior and knowledge of FSOs and organizational requirements for gluten-free (GF) meals in school and hospital canteens in central Italy were investigated. In parallel to an increased CD occurrence at national level, GF foods demand is significantly growing. Our survey in 20 inspected canteens revealed important knowledge and awareness gaps among FSOs, as well as lack of procedures and structural requirements for safely providing GF meals, underlining the need to improve education on topic.