The acupuncture and moxibustion of TCM was introduced into Malaysia since fourteenth century. After several centuries of precipitation and accumulation, acupuncture and moxibustion showed vigorous vitality in Malaysia. This article provides an overview of the development of acupuncture in Malaysia from a full-time education in acupuncture, association, policy support for acupuncture, clinical application and scientific research, etc. With the frequent exchanges between the traditional medical community in Malaysia and the Chinese medicine community in mainland China, the spread of acupuncture in Malaysia has been greatly promoted.