It has now been twenty-five glorious years for Nepal Orthopedic Association (NOA) to institutionalize the Orthopaedic services in Nepal. Orthopedic services started in Nepal in the seventies, but it was only in 1995 that NOA was officially registered in the government and organized its first annual conference that year. That was the time when there were less than twenty orthopedic surgeons in the country, the number which has now splendidly increased to more than four hundred, and every year 30 – 40 young and energetic orthopedic surgeons are joining from within the country and abroad. During these 25 years, we have grown not only in numbers, but our service has extended to different parts of the country.