This chapter explores policy and practice in Hong Kong, and their impact on people with intellectual disabilities and their families. From a historical perspective, this development has consisted of three phases. Hong Kong, the world’s most populated area, remained a British colony until 1997, when it became a special administrative region of the People’s Republic of China. Early service provision began in the 1970s. This was followed by a so-called ‘golden period’ in the 1990s when it seemed that a new age of rights and family- and self-advocacy was dawning. From around the end of the twentieth century a worrying period of minimal progress and stagnation has threatened to submerge earlier gains. Life-stories reflect this trajectory from defiance and struggle in the early days, through the euphoria of progress and change, to the present state of anxiety as victory seems to appear in danger of receding.