As Western aid budgets are slashed and government involvement with aid programmes reduced, NGOs in the voluntary sector are finding themselves taking an ever-increasing share of development work overseas. As they do so, they are forced to grow and to assume new responsibilities, taking more important and wide-ranging decisions – in many cases, without having had the chance to step back and review the options before them and the best ways of maximizing the impact they make. This collection of essays explores the strategies available to NGOs to enhance their development work, reviewing the ways that options can be understood, appropriate programmes and likely problems.