**1. Introduction**

The Japan Obstetric Compensation System for Cerebral Palsy [1–4] was launched in 2009 by the Japan Council for Quality Health Care (JQ ) as operating organization, with the background of a shortage of obstetricians in Japan and a surge in disputes particularly caused by occurrence of cerebral palsy (CP). More than 10 years have passed since the system commenced, and it has given rise to enormous achievements such as early resolution of disputes displayed in the rapid decrease in the number of lawsuit statistics and quality improvement of perinatal care. It is of note that the system was designed in an introductory committee in the presence of range of stakeholders such as professional organizations, academic organizations, insurance firm, lawyers, and patient representatives. They have been involved in implementing the

system that was helpful in obtaining confidence in the system. Here, in this article, current status of the system and challenges ahead are described.
