1980-1990 was a decade that witnessed the rapid development of sports medicine and this in effect had prominently positioned the specialty into the forefronts of orthopaedics. Simultaneous with the scientific progress of sports medicine, was the development of the specialty into a well structured and organized set up in numerous countries. In 1985 John Feagin, MD and Werner Mueller, MD over a drink in Basel, Switzerland conceived of a traveling fellowship between Europe and North America. This discussion led to a formal sports traveling fellowship program between the American Orthopaedic Society for Sports Medicine (AOSSM) and the European Society of Sports traumatology, Knee surgery and Arthroscopy (ESSKA),. In 1987, inspired by the successful exchanges between ESSKA and AOSSM, George Snook, MD and Bernie Cahill, MD proposed a Pacific Rim/North American Traveling Fellowship program. The idea was well received and formalized between the AOSSM and the Western Pacific Orthopaedic Association (WPOA) now known as the Asian Pacific Orthopaedic Association (APOA) and the first exchange took place in 1988.