The Australian and New Zealand Society of Neuroradiology (ANZSNR) was formed in 1992 with approximately 30 Fellows and Educational Affiliates of The Australian and New Zealand College of Radiology. Only a few fellows were trained specialist neuroradiologists. The rapid advancements in MRI, CT, and evolving interventional neuroradiology required a larger number of appropriately trained radiologists to provide accurate imaging interpretation and skills in performing interventional neuroradiology (INR) procedures. Patient safety and access to neuroradiology expertise was the overriding issue in the formation of ANZSNR. Members have encouraged and succeeded in persuading many RANZCR trainees into both diagnostic neuroradiology and INR to meet the needs of patients. Many centres are now offering fellowship programmes in both diagnostic and interventional neuroradiology (INR). From modest beginnings, ANZSNR has grown and evolved into an outstanding organisation with over 215 members. An excellent annual scientific meeting (ASM), with both international and home-grown faculty members, provides an update and CPD-eligible scientific presentations in diagnostic and interventional neuroradiology as well as more recent head and neck/ENT radiology. The Society has hosted several international scientific meetings, including AOSNHNR, the Symposium Neuroradiologicum, and The World Federation of Interventional and Therapeutic Neuroradiology. Several Society members have presented and continue to present at the meetings of the Societies in our region, in Europe and North America.