This timely book analyzes the governing experiences of the nine major pro-leftist governments in Latin America. The individual country case study chapters are preceded by chapters that frame the discussion by considering the theoretical implications of the Pink Tide experience relating to globalization, the state, and neo-extractivism. The contributors examine the Pink Tide policies and rhetoric that gained widespread approval and led to the long tenure of many of these governments. These included ambitious social programs, prioritizing the needs of the poor, nationalistic foreign policy, economic nationalism, and asserting control of strategic sectors of the economy. The book continues by taking a critical look at policies that have contributed to recent setbacks, acknowledging the inability of progressive governments to overcome embedded structures holding back economic development. One such setback has come from the opposition—often supported by powerful foreign actors—pressuring the government into making concessions and carrying out policies that ultimately undermined economic and political stability. The contributors critically examine these policies, which were politically successful in the short run but eventually backfired in the form of corruption, bureaucratic waste, and economic sluggishness. With its balanced and thorough assessment, this book will provide readers with a deep and nuanced understanding of the complexity of the political, economic, and sociocultural reality of contemporary Latin America and the Caribbean.