Access to higher education for people with disabilities has been a concern and motivation for change internationally. Collaborative discussions about the attitudes and policies addressing these issues began many years ago with several organizations and agencies representing the interest of people with disabilities. There were international conferences in the U.S. and Europe addressing topics such as assistive technology to accommodate people with disabilities. However, these conferences addressed broad issues of accommodating someone with a disability rather than focusing on fair access to higher education. To address this, the Training, Resource, and Assistive Technology Center (TRAC) based within the University of New Orleans worked within a Friendship Treaty with the University of Innsbruck, Austria to establish what has become a triennial event. This article provides a brief history and description of how the International Conference on Higher Education and Disability started in 1992 and the developments that have occurred since. It has two sections. The first section provides a perspective from the Conference organizers whilst the second offers some reflections from a participant.