Purpose Malaysia, with its diverse culture and multilingual population, presents a unique and interesting setting for working as a speech-language pathologist (SLP). This article discusses the challenges that SLPs face when providing speech and language therapy in Malaysia and issues that need to be addressed for continued growth of this profession. While providing suggestions to SLPs on methods to overcome the challenges faced and improve their clinical practice, this article also calls upon international collaborations in overcoming these challenges. Conclusions Within the last few decades, the SLP profession in Malaysia has continued to grow and develop as it seeks to offer services on par with countries where the profession is more established. However, there is still much room for improvement as Malaysia continues to overcome current challenges.