The 21st International Symposium on Endoscopic Ultrasonography (EUS 2018) will be held in Bangkok, Thailand, on December 1 – 2, 2018. Since the introduction of this minimally invasive alternative to exploratory surgery in 1980, its accuracy, safety, and good clinical outcomes have been confirmed, and EUS is no longer a niche technology confined to large tertiary healthcare centers in the United States, Europe, and Japan. Today, EUS is widely practiced throughout Asia, and it is fitting that EUS 2018’s symposium be held in the medical tourism hub of Bangkok.