The Mediterranean Diet (MD), although not always called by this name, has emerged over centuries as a diet influenced by diverse civilizations in the Mediterranean region, who blended local produce, traditions, and rituals with new ingredients and customs introduced through trade, migrations, or occupations. Historically characterized mainly by plant-based foods, olive oil, fish, moderate meat consumption, and moderate wine consumption, MD was also shaped by the holistic health principles advocated by figures like Hippocrates, Plato and Galen. Modern investigations, including Ancel Keys’ Seven Countries Study, confirmed its protective role against cardiovascular disease and other chronic illnesses, while UNESCO’s designation of the MD as an Intangible Cultural Heritage highlights its broader cultural significance. Today, although MD faces challenges from globalization and shifts in modern lifestyles, the advances in personalized and AI-driven nutrition, as well as specific public health initiatives offer opportunities to preserve its core tenets of balance, sustainability, and communal eating for future generations along with many scientifically proven benefits of this diet and the associated lifestyle.

Extra virgin olive oil (EVOO), also called the “Elixir of the youth and health” by the Ancient Greeks, is a cornerstone in the Mediterranean diet, which has been recognized as one of the healthiest and most sustainable dietary pattern and lifestyle. In this chapter, a brief overview of the major and minor components of EVOO is given followed by a review of their health benefits. In particular, the antioxidant, anti-inflammatory, anti-cancer and cardiovascular protective effects of EVOO are emphasized. At the end of this chapter, the reader would benefit by realizing that EVOO, as a functional food, proves the Hippocrates’s quote “Let food be thy medicine and medicine be thy food”.

This chapter highlights the traditional use of Mediterranean edible plants, frequently used as herbs and spices in Mediterranean cuisine, and medicinal plants, used as natural therapeutics among the people in the Mediterranean region. The high phytonutrient content and diversity of these edible and nonedible wild plants in the Mediterranean are emphasized and their folk use is reviewed. The herbs, spices, and medicinal plants are vital constituents of the Mediterranean dietary pattern and lifestyle, known as the Mediterranean diet (MD). They significantly contribute to high antioxidant and anti-inflammatory character of the diet and its health and well-being benefits.