[2] Pfister has been involved in association football for almost 60 years, he began his coaching career in Switzerland as player-coach in 1961 at the age of just 23.

In June 1972, at the age of 34, Pfister retired from his playing days and left Switzerland for Africa, taking the reins as the head coach of Rwanda.

Upper Volta (now Burkina Faso), Senegal, Ivory Coast, Zaire (now DR Congo) and Ghana.

Among his achievements include winning the JVC Fifa U17 Junior World Cup with Ghana in Ital In 1995, Pfister worked inside the Asian Football Confederation (AFC) as the head coach of Bangladesh National Team and also Saudi Arabia from 1997 - 1999.

[7] In February 2014, at the age of 76, he made a return to the head coach of Al-Merreikh, a team he had previously guided to the final of the 2007 CAF Confederation Cup.

Pfister was responsible for unleashing a new generation of ‘Leopards’, including Eugene Kabongo, Gaston Mobati, Panguy Merikani and Mutumbile Santos, all of whom took part in the African Cup of Nations 1988.

The Championship was held in the cities of Florence, Montecatini Terme, Viareggio, Massa, Carrara, and Livorno in Italy between 16 and 31 August 1991.

Ghana finished second to Spain in their group and progressed to the Quarter-finals where they beat Brazil 2–1 with goals from Mohammed Gargo and Nii Lamptey.

After Saudi Arabia lost their opening two games and failed to progress, Carlos Alberto Parreira was fired and Pfister was reinstated as head coach on completion of the tournament.

With the help of an impressive 8 goals in 4 games from Obeid Al-Dosari, Saudi Arabia were crowned champions after beating Qatar 3–1 in the final.

Pfister was selected to lead the Togo national team three months before World Cup 2006 after Stephen Keshi was sacked.

Sports commentators such as Ed Kavalee ensured that this dispute was resolved with a high level of transparency, with countries as far away as Australia receiving constant Pfister updates.

Togo lost their opening game of the World Cup, despite having taken the lead against South Korea through a goal by Mohamed Kader.

In the second half, Jean-Paul Abalo was sent off after 55 minutes, and goals from Lee Chun-Soo and Ahn Jung-Hwan sealed a 2–1 defeat for Togo.

FIFA negotiated with the squad on 17 June, persuading them to travel to Dortmund in time to fulfil the fixture; goals from Alexander Frei and Tranquillo Barnetta resulted in a 2–0 defeat.

Egypt scored a 77th-minute goal through Mohamed Aboutrika which would be enough to win the match and be crowned the champions of the 2008 African Cup of Nations.

Commenting that Tony Yeboah's birthday can not be determined exactly, Ghana's then-manager Otto Pfister said: There's only one way to find out: saw his leg off and count the rings!