The 10th Asia Pacific Alliance (APA) Conference and Meetings were held in Penang, Malaysia and brought together a richly diverse group of representatives from 16 different countries. Through workshops and plenary, members and stakeholders discussed this year's theme "Investing in Sexual and Reproductive Health and Rights for the MDGs: Priorities Leading up to 2015 and beyond". The report contains live links to presentations and provides evidence based information and tools to advocate for sustained access to reproductive and sexual health to achieve the MDGs. The collective information and learning in this report elaborate lessons in advocacy, ICPD Program of Action, and financial support enhancement in working on Sexual and Reproductive Health and Rights.