Meeting in Lisbon, Portugal on May 3rd 2006, the board of directors of the International Psychogeriatric Association (IPA) endorsed the recommendation of its executive that I be reappointed for a further (and final under the terms of the IPA constitution) four year term to serve as editor of International Psychogeriatrics from 1 January 2007 to 31 December 2010. I accepted this offer with delight, so unless I get fired for misconduct, drop dead or resign early, readers and authors are stuck with me until the end of the decade. As we strive to further develop and improve the journal this is an appropriate moment to reflect on what has changed since I took over at the start of 2003, report how the journal stands at present and indicate what developments may lie ahead.