This book is the product of both scholarly research and a decade of profes- sional involvement in global policy debates on trade, intellectual property (IP), and sustainable development. My goal has been to write a book that captures what those closest to TRIPS implementation know first hand while employing scholarly methods to help make sense of that experience. The out- come is, I hope a book that both appeals to those working in the policy arena and is compelling to scholars of international relations, political economy and international law