It was in Nagoya, Japan, when AOTA began its every 2-year congress, heralding a more frequent scientific meeting among thyroidologists in and outside the Asian Region. Held in the Nagoya Congress Center on November 1-4, 2009 and held in conjunction with the 52nd Annual Meeting of the Japan Thyroid Association (JTA), the 9th AOTA Congress featured 2 Prize Lectures, 2 Symposia, 1 ICCIDD Symposium, 22 Oral Presentations, 16 Selected Poster Presentations, 146 Posters, 1 Luncheon Seminar, and a Special Lecture by Prof Martin Schlumberger. A visit to the famed Nagoya Castle capped the local tour.