This report argues that the WTO has committed to helping achieve sustainable development, and asks what the institution would look like it the members took that goal seriously. It surveys current practice and recommendations in areas as diverse as accession, dispute settlement, negotiations, trade and environment, trade and development and the process of self-assessment. At once a blueprint for institutional reform and a positive vision, the report calls for a process to begin helping the WTO achieve its full potential for economic, social and environmental progress.