This document discusses the history and introduction of speech language pathology in Pakistan and Asia. It describes how speech language pathology originated in the US in the 1920s with the establishment of an organizing body. In Pakistan, speech language pathology began in 1994 with the establishment of a postgraduate diploma program. The first speech and hearing center was opened in Karachi in 1983. Several universities now offer undergraduate and graduate programs in speech language pathology, including the University of Karachi, Ziauddin University, and the University of Lahore.