This article traces the evolution of special education in Malaysia across four chronological stages: before and during the early colonial period (before 1900), pre-independence (1900-1957), post-independence (1957-1990) and modern Malaysia (1990 to the present), through document analysis. By placing current issues and trends within a historical perspective, we can provide a context for understanding current practices in relation to shifts in policy paradigms. The effects of policy changes throughout the years are discussed in the context of issues facing special education today. Identifiable areas of improvements are organised into eight themes: (1) provision of education for students with special needs and the degree to which they are inclusive; (2) encouragement of diversity within highly structured education systems; (3) the importance of funding; (4) restructuring pre-service teacher preparation; (5) multidisciplinary support and collaboration; (6) programme outcomes; (7) provision of related services; and (8) epidemiological data.