This article informs about the difficulties in the developments of Traditional Chinese Medicine (TCM) in Malaysia. In the past, TCM belongs to one of the nation traditional medicine. It was not recognized by the government due to the practitioners of TCM of their educational level, clinical practices and trainings were insufficient. However, the belief in TCM among the people was not affected or change; and the parties concerned such as the TCM academies and associations still drive on in the promotion and development of TCM by continuously organizing and conducting international TCM dialogues and conventions to upgrade the standard and the quality and the quantity of the local TCM practitioners.