Acupuncture is the practice of stimulating specific points on the body according to the Chinese medicine meridian theory, usually by inserting very fine needles through the skin. In 2003, the World Health Organization (WHO) published a review of clinical trials where it recognised 28 diseases, symptoms, or conditions that acupuncture has been proven to be an effective form of treatment (10). Hence, there was high rate of acupuncture utilization in countries such as the United States of America, Australia, Japan, and Taiwan (4-7). Studies have shown that acupuncture users were also from high education attainment (14-18). However, the rate of acupuncture utilization in Malaysia is still low. According to the National Health and Morbidity survey 2015, only 2.13% of the Malaysian population are using acupuncture and moxibustion according to the National Health and Morbidity survey 2015 (19). This same phenomenon can be observed at the Chinese Medicine clinic located within International Medical University (IMU) as well, where the utilisation rate of the clinic by IMU staff is only at 1% in 2019, despite the provision of discounts as well as medical expenses covered under staff benefits. Hence, we attempt to study the factors that affect the intention to utilize acupuncture in Malaysia, using questionnaires targeted at IMU staff which mainly comprise of the high educational attainment group, by applying the Theory of Planned Behaviour (TPB). The 3 main constructs of TPB are Attitude, Subjective Norms and Perceived Behaviour Control. This study is a designed to be cross-sectional and questionnaires were distributed through email. A total of 156 samples were collected at the end of the survey for analysis. The findings show that subjective norms and perceived behaviour control had a positive relationship on intention, while attitude appeared to have no effect on intention. Variables of ethnicity, marital status, education level and designation had no significant relationship with intention to utilize acupuncture. Gender and household income have shown to have positive influence on intention. Female respondents with a monthly household income of less than RM5,000 show a higher intention to choose acupuncture as their treatment choice.