The lack of opportunities available in Karachi for regular discussions and promoting education in biomedical issues was felt strongly by partipants attending a clinical ethics symposium held in October 2004 at the Aga Khan University hospital. As a solution, some of those present suggested creating a forum in which healthcare related professionals could being to meet periodically. Physicians from the Patel Hospital offered to host a meeting on December 13 to discuss this idea further. In this inaugural meeting, which was attended by staff from Ziauddin Hospital, Aga Khan University Hospital Patel Hospital and CBEC as well as some medical journalists, it was decided to form the KBG which would meet on a quarterly basis.