Fast forward to now, Malaysia has seen rapid rise in laparoscopy and great strides have been made by a number of surgeons and centers in the country. This year, the ELSA congress is co-organized with the Society of Endoscopic and Laparoscopic Surgery of Malaysia (SELSMA) which have arranged a program to encompass all the major disciplines in MIS and also present a world class line up of faculties consisting of experts locally, regionally and internationally. This year’s theme “ Trailblazing MIS into the next decade” is aptly chosen as we are at a critical time in the development of MIS where we have to balance the emergence of new techniques as opposed to the principle of “ primum non nocere”. We are truly honored to have top speakers such as Professor Sir Alfred Cuschieri, Professor Eduardo Targarona and Professor Andrea Pietrabissa to grace this congress with their presence. SELSMA and ELSA wish to welcome all surgeons, nurses and medical community to enjoy the intense and high quality scientific content, the cultural bonanza and the warm hospitality of a truly Asian society in Malaysia.