Following the outbreak of the Somali Civil War in 1991, a home-grown constitutional conference was held in Garoowe in 1998 over a period of three months. Attended by the area's political elite, traditional elders (Issims), members of the business community, intellectuals and other civil society representatives, the autonomous Puntland State of Somalia was established to deliver services to the population, offer security, facilitate trade, and interact with domestic and international partners.

Abdullahi Yusuf Ahmed served as the fledgling state's
founding president.