Creating a Twilio app with Sinatra and deploying it to Heroku is an easy process that can be accomplished by following sample code and tutorials from resources such as the official Twilio documentation, SDKs, and helper libraries for various languages and platforms. The developer community hub at Ahoy provides best practices, code samples, and inspiration to build communications and digital engagement experiences. A recent developer contest with Heroku resulted in a winning application called Duke Now, which showcased the potential of combining Twilio's APIs with Heroku's deployment capabilities.