Chennai was chosen for the 4th SACA congress and large number of anaesthesia from all countries numbering about 2000 attended the meeting. As accepted all the post graduate trainees from SAARC countries were treated as guest delegates, free of registration, accommodation charges and other hospitalities. In the executive committee of the SACA again Nepal was asked to conduct the 5th SACA congress and Dr Prabhu Joshi was the President Elect to organize the same.

Even after two years there was no proper response from the Nepal Society of Anaesthetists and Dr.K.Balakrishnana was asked to continue the President of SACA post for one more term. After consulting the SACA Committee members of other countries, again Bangladesh was requested to organize the 5th SACA congress to avoid too much interval between the events. When Bangladesh expressed their initial financial difficulties the Organizing committee of 4th SACA i.e.INDIA helped them to start the proceedings by providing $2000/-(Two thousand American Dollars). The 5th SACA congress was again conducted at Dakha in 2003 and large number of delegates attended the meeting. The President Elect this time was Prof.Khalilur Rehman, one of the very well respected number of the SAARC countries. They also organized a satellite meeting at Katmandu, Nepal with the help of Nepal Society.

Prof.Swinithi Ranasinghe was the President Elect who organized the 6th SACA by the Sri Lankan Anaesthesia Society in the year 2005 at Colombo with lots of scientific programmes and Culturals and a satellite meeting at Kandy. Since SACA Presidents did not have any President’s Medal worth mentioning, the 4th SACA congress organizers presented a “GOLD MEDAL” with chain during the meeting. This time the Nepal Society of Anaesthetists were ready with all the preparations to conduct the 7th SACA at Nepal in 2007.

Prof. Goutham Bajracharya was the President Elect to organize the congress 2007. When Nepal society needed financial help again the 4th SACA organizing committee gifted them $1000/- (One Thousand AmericanDollars). The Nepal Society of Anaesthesilogists organized very good scientific and other programmes and post congress meet after the regular congress.

The following decisions were taken and being followed in all the SACA conferences which were conducted so far,

• The host country should not only charge local registration fee but also help SACA delegates with visa and accommodation facilities.
• Each Country hosting the congress should borrow the seed money from the host society which would be paid back subsequently.
• Any profits made after conducting the congress should be deposited in the bank in the name of SACA and used for educational purposes and it was suggested that each country should give a report of their educational activities in the SACA meeting.
• It was also decided that the host country since it is bidding for the congress would have to bear the loss of it happens after conducting  the congress.
• Since the word SACA is not very familiar with all the officials, to facilitate a better recognition, visa formalities and aid from the respective governments, the SACA in future will be called as SAARC society of anaesthesiologists.