Asia is an emerging centre of growth in the field of urology owing to large and varied patient populations, the availability of a trained workforce, the use of English as a common language, and overall low costs. Asian urology has immense potential to expand in areas in which it currently lags behind, especially research. In this Perspective, Kumar uses a strength–weakness–opportunities–threats (SWOT) analysis to discuss the current state of urology in Asia and comment on the future direction of this field in this region.