Alcano returned to the East, for the 2005 WPA Asian Nine-ball Tour, winning the Manila tournament (11-6 versus Yang Ching-shun), and qualifying for the world championship.

[1] Coming in as an underdog, Alcano upset German Ralf Souquet in the finals, 17 to 11 at the 2006 WPA Men's World Nine-ball Championship.

Alcano then defeated local favorite Reyes and defending champion Wu Chia-ching in the knockout stages, proceeding to the final.

On 11 December 2007, Ronato Alcano won the Philippines' 31st gold medal in the 24th Southeast Asian Games Men's 8-Ball Pool Singles at the Sima Thani Hotel Grand Ballroom.

[3] On 26 October 2008, Alcano lost to Mika Immonen in the $250,000 33rd US Open Nine-ball Championship, where 237 billiards players competed in Chesapeake, Virginia.