Embodiments include a system, method, and computer program product for a wearable smart gateway (WSG) that is capable of providing interoperability gateway functions for a variety of wearable devices. In an embodiment, the WSG detects one or more devices within a proximity that use communication interfaces supported by corresponding plug-ins installed in the memory. Then, the WSG establishes communication channels with the detected one or more devices according to configurations within the corresponding plug-ins, wherein the established communication channels forms a personal area network. The WSG may perform interoperability gateway functions to communicate data monitored by the one or more devices within the personal area network to an agency via a wide area data network.