Urologists in Pakistan started with being associated with the Nephrologists and there exists a Nephro-Urology Association. However this was not a natural association but simply a marriage of convenience which was waiting to fall apart. It was the leadership of Professor Farrakh Khan who had the far sight of forming the Pakistan Association of Urological Surgeons (PAUS) and for this in 1997 he brought together all the young and senior urologists of the country. In August 1997, a small but convinced group of urologists gathered in the auditorium of Mayo Hospital, Lahore for 2 days of meeting and to launch their nascent association PAUS. Behind the scene, discussions and negotiations were necessary to have all stake holders on board. A working group was formed to get the constitution of PAUS ready and then to take the association to the next level.