Nanthiya Sujijantarat engages Thaweesak Aurboonyawat in a discussion on the state of stroke care in Thailand. They explore how the country's stroke management system measures up to international standards and identify critical challenges, including timely access to care and the pressing need to bridge gaps in treatment and prevention. Looking ahead, Dr Aurboonyawat highlights key strategies and innovations that could offer hope for improved patient outcomes and healthcare efficiency.