Established in October 2014, the Bhutan Toilet Organization (BTO) began as a citizen-engagement social media campaign led by Mr. Passang Tshering, an Educator and Blogger. It aimed to fix responsibility and accountability for the condition of public toilets in the country. Recognizing the need for broader action, the group evolved from blame attribution to proactive collaboration in the sector.

Between 2015 and 2016, BTO actively managed toilet facilities during events and seized opportunities for involvement in the sector. This period allowed the group to gain in-depth insights and establish partnerships with various stakeholders, including the Government, and other developmental partners.