<?xml version="1.0" encoding="UTF-8"?><edgarSubmission xmlns="http://www.sec.gov/edgar/schedule13g" xmlns:ns1="http://www.sec.gov/edgar/common">
  <headerData>
    <submissionType>SCHEDULE 13G</submissionType>
    <filerInfo>
      <filer>
        <filerCredentials>
          <cik>0000009631</cik>
          <ccc>XXXXXXXX</ccc>
        </filerCredentials>
      </filer>
      <liveTestFlag>LIVE</liveTestFlag>



    </filerInfo>
  </headerData>
  <formData>
    <coverPageHeader>
      <securitiesClassTitle>Common Stock</securitiesClassTitle>
      <eventDateRequiresFilingThisStatement>06/30/2025</eventDateRequiresFilingThisStatement>
      <issuerInfo>
        <issuerCik>0001799207</issuerCik>
        <issuerName>AUNA S.A.</issuerName>
        <issuerCusip>L0415A103</issuerCusip>
        <issuerPrincipalExecutiveOfficeAddress>
          <ns1:street1>6, RUE JEAN MONNET</ns1:street1>
          <ns1:city>GRAND DUCHY OF LUXEMBOURG</ns1:city>
          <ns1:stateOrCountry>N4</ns1:stateOrCountry>
          <ns1:zipCode>L-2180</ns1:zipCode>
        </issuerPrincipalExecutiveOfficeAddress>
      </issuerInfo>
      <designateRulesPursuantThisScheduleFiled>
        <designateRulePursuantThisScheduleFiled>Rule 13d-1(b)</designateRulePursuantThisScheduleFiled>
      </designateRulesPursuantThisScheduleFiled>
    </coverPageHeader>
    <coverPageHeaderReportingPersonDetails>


      <reportingPersonName>BANK OF NOVA SCOTIA</reportingPersonName>
      <citizenshipOrOrganization>Z4</citizenshipOrOrganization>
      <reportingPersonBeneficiallyOwnedNumberOfShares>
        <soleVotingPower>1759221</soleVotingPower>
        <sharedVotingPower>0</sharedVotingPower>
        <soleDispositivePower>1759221</soleDispositivePower>
        <sharedDispositivePower>0</sharedDispositivePower>
      </reportingPersonBeneficiallyOwnedNumberOfShares>
      <reportingPersonBeneficiallyOwnedAggregateNumberOfShares>1759221</reportingPersonBeneficiallyOwnedAggregateNumberOfShares>
      <aggregateAmountExcludesCertainSharesFlag>N</aggregateAmountExcludesCertainSharesFlag>
      <classPercent>5.85378</classPercent>
      <typeOfReportingPerson>FI</typeOfReportingPerson>
    </coverPageHeaderReportingPersonDetails>
    <items>
      <item1>
        <issuerName>AUNA S.A.</issuerName>
        <issuerPrincipalExecutiveOfficeAddress>6, RUE JEAN MONNET, GRAND DUCHY OF LUXEMBOURG, LUXEMBOURG
L-2180</issuerPrincipalExecutiveOfficeAddress>
      </item1>
      <item2>
        <filingPersonName>BANK OF NOVA SCOTIA</filingPersonName>
        <principalBusinessOfficeOrResidenceAddress>40 TEMPERANCE STREET
TORONTO, Ontario, Canada
M5H 0B4</principalBusinessOfficeOrResidenceAddress>
        <citizenship>BANK OF NOVA SCOTIA - CANADA (FEDERAL LEVEL)</citizenship>
      </item2>
      <item3>
        <notApplicableFlag>N</notApplicableFlag>
        <typeOfPersonFiling>FI</typeOfPersonFiling>
        <otherTypeOfPersonFiling>a parent holding company, in accordance with 13d-1(b)(1)(ii)(g)
</otherTypeOfPersonFiling>
      </item3>
      <item4>
        <amountBeneficiallyOwned>1,759,221</amountBeneficiallyOwned>
        <classPercent>5.85378</classPercent>
        <numberOfSharesPersonHas>
          <solePowerOrDirectToVote>BANK OF NOVA SCOTIA - 1,759,221</solePowerOrDirectToVote>
          <sharedPowerOrDirectToVote>BANK OF NOVA SCOTIA - 0</sharedPowerOrDirectToVote>
          <solePowerOrDirectToDispose>BANK OF NOVA SCOTIA - 1,759,221</solePowerOrDirectToDispose>
          <sharedPowerOrDirectToDispose>BANK OF NOVA SCOTIA - 0</sharedPowerOrDirectToDispose>
        </numberOfSharesPersonHas>
      </item4>
      <item5>
        <notApplicableFlag>Y</notApplicableFlag>
      </item5>
      <item6>
        <notApplicableFlag>Y</notApplicableFlag>
      </item6>
      <item7>
        <notApplicableFlag>Y</notApplicableFlag>
      </item7>
      <item8>
        <notApplicableFlag>Y</notApplicableFlag>
      </item8>
      <item9>
        <notApplicableFlag>Y</notApplicableFlag>
      </item9>
      <item10>
        <notApplicableFlag>N</notApplicableFlag>
        <certifications>By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were acquired and are held in the ordinary course of business and were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect, other than activities solely in connection with a nomination under ?? 240.14a-11.</certifications>
      </item10>
    </items>
    <signatureInformation>
      <reportingPersonName>BANK OF NOVA SCOTIA</reportingPersonName>
      <signatureDetails>
        <signature>Raj Sachdeva</signature>
        <title>Vice President, Head of GBM&amp;T Compliance Canada</title>
        <date>07/21/2025</date>
      </signatureDetails>
    </signatureInformation>
  </formData>
</edgarSubmission>
