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Although Occupational Therapy in Iran is relatively a new profession, it has been well progressed, providing various services for people with all kinds of disabilities. As such, in the last decades, OT has been recognized as the major demand in all governmental, private and NGO sectors. Due to this demand, occupational therapy training programs have been increased from three into ten, expecting to have more Occupational Therapy graduates in the near future. Furthermore, Iranian occupational therapists established master and PhD programs to further strengthen their services as well as undergraduate trainings. Considering the number of trained occupational therapists in both undergraduate and graduate levels, Iran is located on the top rank in the Middle East countries with more than 2000 therapists. However, we still need to work hard in order to keep our progress powerful, improve our services, respond to social demands and strengthen the professional body in the future. Following issues can surely help to achieve these professional goals.