This was the natural next step when more and more anaesthesiologists with special interest in perioperative neurosciences from public, private and university hospitals in Malaysia were gathered in the Neuroanaesthesiology and Neurocritical Care Special Interest Group under the auspices of the Malaysian Society of Anaesthesiologists. The MSNACC is a non-profit professional body that remains very close in affiliation with the College of Anaesthesiologists, Academy of Medicine of Malaysia.