CTO may refer to:
- Cancelled-to-order, a postage-stamp cancelled by the postal administration before sale to stamp-collectors
- Cape Air Transport, Australia (ICAO airline designator)
- Caribbean Tourism Organisation
- Central Telegraph Office, London UK
- Central Treaty Organisation
- Centrum Techniki Okrętowej - Ship Design and Research Centre, Poland
- Certified Television Operator, an operator certified by the Society of Broadcast Engineers
- cervical-thoracic orthosis
- Chief technical officer or chief technology officer (both terms refer to the same functional job)
- Chinese Trademark Office
- Color temperature orange, a type of color gel
- Commonwealth Telecommunications Organisation
- Community treatment order, an implementation of mental-health law in Australia
- Configure-to-order, in business, the ability of a user to configure a product before ordering
- Control Tower Operator, an aviation term for certain personnel working in a control tower
- Cyprus Tourism Organization
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