In December of 1977, a group of seven military physician assistants from Fort Polk, Louisiana, and one civilian PA trying to obtain privileges from the State Board of Medical Examiners held their first organizational meeting with the hopes of forming the Louisiana Academy of Physician Assistants. By March of 1978, the LAPA had formed, and in October of that year, the LAPA had incorporated. Those early meetings were attended by about a dozen PAs who saw the future of our profession in Louisiana. Over the years the organization grew, laws were challenged, and rules were rewritten. PAs were allowed to start practicing outside of the military, government, or public service arenas, and the numbers gradually grew. In 2004, the state legislature passed Louisiana's PA prescriptive authority act, and there are now over 1,500 licensed PAs in Louisiana with those numbers growing every month. Our annual CME conference draws 150 to 200 registrants who come to enjoy the good weather, superb educational events, and the eclectic nightlife of the French Quarter. The LAPA now has over 600 members, and the Academy continues to work with and for the PAs of Louisiana.