Allergic diseases are prevalent worldwide and Hong Kong (HK) is no exception [1][2][3][4][5][6][7][8][9][10][11]. This includes allergic asthma, rhinitis, eczema, food allergies and anaphylaxis. The diseases can cause significant morbidity and are sometimes life-threatening. Allergy services can help these patients as reported in the two examples below.The first example is a 10 year old boy with se vere milk allergy who had experienced an anaphylactic reaction af ter ingesting a very small volume of milk which resulted in admission to pediatric intensive care. The milk allergy was confirmed by both positive skin prick AbstractThere is a severely unmet need for allergy clinical services in Hong Kong (HK) especially for the adult population. This review chronicles the steps taken and the challenges faced in establishing a new Allergy Centre in HK from scratch. While the experience described is for only one Centre in one country, the information provided may help others who are starting up a new allergy service as it seems likely that they could undergo a similar journey.