The MTTTL was formed in late 1946 for a short season, replacing the old Rochester & District League, which had folded in 1939 at the start of World War II. The first secretary was Sid Groves The league faced its demise in the early fifties, when the committee resigned en-bloc.

Fortunately Len Bethell, the founder of Sturdee TTC, became Chairman and Len Foord Secretary.Later in the fifties it became the ninth largest league in the country, only surpassed by large towns such as Manchester and Birmingham. The league consisted of thirteen divisions. The first League Champions were Toronto, who played at the present Sturdee venue. Civil Service were League Champions for the next two years, including players John Denney, Dick Thornton and Jeff Hancock. After this though Sturdee TTC, consisting of teenagers, reigned supreme for the next seventeen years. In fact Sturdee I went undefeated for eighteen years. The first Annual Championships in 1947, with 134 entries, was held at Riverside Sports Club, The Esplanade.

Don Obray, MTTTL President, started his table tennis playing career on the 6th October 1944, aged 14, when the Sturdee Club was formed. He first represented Sturdee in the Youth League on 27th March 1946 and played continuously in the MTTTL until retiring in 2002 .His first title was Division 3 Champions 1949/50. The highlight of his career was beating Alan Wilkinson, the day after he had become Men's Champion.

At the AGM in July 2003 Dinah Porter was appointed as Vice President of the MTTTL in recognition of her long and dedicated service to the league. Di, an ex-chairman of MTTTL and long time Secretary of Nomads, joined CTTC when they were founded in 1999 and played a large part in their early success before her resignation. She said that she felt very honored at this appointment.

In 2005, with National Lottery funding, the Howard Table Tennis Centre was built and became the "home" venue for both the Chatham Table Tennis Club and the Howard Table Tennis Club as well as providing a purpose-built facility for many Kent and Medway TT events.

Nowadays, these 2 clubs actively promote Junior Development in order to sustain the growth of MTTTL.