The international Society of Urology (SIU) has revised its by-laws and refo
rmed its system to adjust to the changes of the new millennium. The most im
portant role the SIU can play at present is to fill the gap between develop
ing and developed countries, which can be accomplished through the sister c
enter program. After having achieved this primary aim, international cooper
ative work at a higher level can be considered through establishment of var
ious institutes to bolster the high standard of world urology.