Malta has a fairly conservative business culture, similar to that of the United Kingdom with which it has a close historical bond. Punctuality is expected and appreciated and the dress code in offices are conservatively smart. Meetings should be arranged several days in advance and it is customary to shake hands when being introduced or when meeting someone. Use of business cards is important and exchanges are always made on first meetings.
The Maltese people are friendly, helpful, cheerful, expressive, compassionate, intelligent and humble. The normal form of business greeting in Malta is a handshake. You should address your Maltese business partners, especially those in senior positions, by their personal or professional titles and their family names. Gestures usually are very interesting and often shows the truth in the old saying: Gestures and actions speaks louder than words.
With reference to gestures - there is apparently one gesture that is universal. When we point to ourselves and say 'me' we all point to the same place - and it is not our head, where many people think we are pointing. The best thing to do when visiting Malta is to seek advice from someone who lives there.