At the 2009 East, Central, and Southern Africa Health Ministers Conference held in Zimbabwe, the idea of a College of Anesthesia for the region was proposed by the Health Ministers of the region. The number of anesthesia practitioners is very low compared to the region’s population and its burden of disease. Masters of Medicine in Anesthesiology and Critical Care graduates are few and cannot match the need at the current pace, hence the need to run a program that will supplement efforts and standardize care in the region. Further to that, there is a need to harmonize training within the region.