It is my great pleasure and privilege, as President of the Asian Pacific Society of Dialysis Access, to welcome you to the 10^th Congress of APSDA, here in the beautiful city of Osaka.
I extend my sincere gratitude to Professor Toshihide Naganuma, the Organizing chair of the Japanese Society for Dialysis Access, and all our Japanese colleagues for their warm hospitality.
Our Asia-Pacific region is enormously diverse. We have different healthcare systems, resources, technologies and clinical practices. Yet we face remarkably similar challenges; creating the right access, preserving it, recognising failure early, managing complications and ensuring that every patient receives the best possible care.
The access may be different. The technology may be different. The healthcare system may be different. But the patient is the same.
That is the strength of APSDA which was founded by the vision of Prof. Yong-Soo Kim in South Korea whose dream has come alive.
This congress brings together nephrologists, vascular surgeons, interventional specialists, radiologists, nurses and dialysis professionals. Our scientific programme covers the rapidly evolving world of dialysis access-from ultrasound and surveillance to central venous disease, catheters, endovascular interventions, drug-coated technologies, endo-AVF and PD catheter techniques.
But I hope this meeting will be more than an exchange of knowledge. Let us exchange experience. Let us challenge established thinking. And let us create new collaborations.
As APSDA enters its next decade, our ambition must be greater. We should strengthen education and training, promote collaborative research, develop practical evidence-based approaches, and make advanced access care available across the diverse healthcare environments of our region.
Most importantly, we must invest in our young colleagues. We must give them the freedom to question what we know, to innovate and ultimately to lead.
It is particularly fitting that we meet in Japan, a country that has made remarkable contributions to dialysis and vascular access care. Our joint meeting with the Japanese Society for Dialysis Access provides an excellent opportunity to learn from one another and strengthen our partnership.
And let us always remember why our work matters. A fistula, graft, catheter or PD catheter may appear to us as a technical achievement. But to our patient, it is much more; It is a lifeline. When we preserve that lifeline, we preserve not merely access patency, but independence, dignity and quality of life of the patient.

Welcome to the 10^th APSDA Congress. Welcome to Japan. And together, let us shape the next decade of dialysis access.
Thank you.